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Federal forms, ICRs, and supporting documents

Information Collection

Access of Individuals to Protected Health Information (disclosures)

IC 190150 under ICR 201209-0990-004 · OMB 0990-0294.

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Information Collection (IC) Details

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Access of Individuals to Protected Health Information (disclosures)
 
No Modified
 
Mandatory
 
45 CFR 160 45 CFR 164-A-E  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

150,000 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150,000 0 0 0 0 150,000
Annual IC Time Burden (Hours) 7,500 0 0 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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