Consumer Survey of Attitudes Toward the Privacy and Security Aspects of Electronic Health Records and Electronic Health Information Exchange

Forms and Documents

Document Name	Status
Justification_of_Nonmaterial_Changes_0990-398-17023-20120802.docx Justification for No Material/Nonsubstantive Change	2012-08-02
Spanish HHS ONC Survey Introduction and Consent Script_NORC 080112.docx Supplementary Document	2012-08-01
HHS ONC Survey Introduction and Consent Script_NORC 080112.docx Supplementary Document	2012-08-01
ONCConsumerPrivacySurveyIntroScript.docx Supplementary Document	2012-05-15
ONCConsumerPrivacySurveyIntroScriptSpanish.docx Supplementary Document	2012-05-15

IC Document Collections

IC ID	Document Title	Status
202023	Main Survey Other-Survey	Modified
202022	Pretest Survey Other-survey	Modified

ICR Details

OMB Control No: 0990-0398	ICR Reference No: 201208-0990-002
Status: Historical Inactive	Previous ICR Reference No: 201204-0990-002
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Consumer Survey of Attitudes Toward the Privacy and Security Aspects of Electronic Health Records and Electronic Health Information Exchange
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 08/05/2012
	Date Received in OIRA: 08/02/2012
Terms of Clearance: This ICR is returned to the agency as improperly submitted because it does not include a supporting statement. Please remember to carry forward all documentation from the currently active OMB control number when submitting non-substantive change requests, including the supporting statements, instruments, and any other attachments that were included in the most recent full submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2015	07/31/2015	07/31/2015
Responses	2,033	0	2,033
Time Burden (Hours)	508	0	508
Cost Burden (Dollars)	0	0	0

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Abstract: The widespread use of electronic health records and electronic health information exchange promise an array of potential benefits for individuals and the U.S. health care system, such as through improved health care quality, safety, and efficiency. At the same time, this environment also poses new challenges and opportunities for protecting health information. Health IT and electronic health information exchange may also provide individuals with new, more effective methods to engage with their health care providers and affect how their health information may be exchanged.

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Authorizing Statute(s): EO: EO 13335 Name/Subject of EO: Health Information Technology for Economic and Clinical Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Pretest Survey
Main Survey

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $371,119

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/02/2012

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