HITECH Act Breach Notification

ICR 201211-0945-001

OMB: 0945-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2009-12-23
Supporting Statement A
2009-12-23
ICR Details
0945-0001 201211-0945-001
Historical Active 200909-0990-005
HHS/OCR
HITECH Act Breach Notification
Extension without change of a currently approved collection   No
Regular
Approved without change 11/09/2012
Retrieve Notice of Action (NOA) 11/09/2012
This ICR is approved. HHS should resubmit this ICR in conjunction with publication of the final breach notification rule. At that time, HHS should ensure that the total cost and time burden included in the rule's regulatory impact analysis and PRA sections match what is reported in the ICR submission.
  Inventory as of this Action Requested Previously Approved
02/28/2013 36 Months From Approved
514 0 514
265,733 0 265,733
1,774,068 0 1,774,068

The purpose of this media notification, which must be provided in addition to individual notification, is not to alert affected individuals of the breach. The purpose of media notification is to alert the public that a covered entity has experienced a breach.

PL: Pub.L. 111 - 5 13402 Name of Law: the Health Insurance Portability and Accountability Act of 1996
   US Code: 13 USC 13402 Name of Law: Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009
  
None

Not associated with rulemaking

  74 FR 52235 10/09/2009
74 FR 68624 12/28/2009
Yes

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 514 514 0 0 0 0
Annual Time Burden (Hours) 265,733 265,733 0 0 0 0
Annual Cost Burden (Dollars) 1,774,068 1,774,068 0 0 0 0
No
No

$500,000
No
No
Uncollected
Uncollected
Yes
Uncollected
Saleda Perryman

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/11/2010


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