Individual Notice substitute Notice

HITECH Act Breach Notification

OMB: 0945-0001

IC ID: 190798

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Individual Notice substitute Notice
 
No Modified
 
Voluntary
 
45 CFR 160

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

Health Illness Prevention

 

70 0
   
Individuals or Households
 
   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 70 0 0 0 0 70
Annual IC Time Burden (Hours) 240,660 0 0 0 0 240,660
Annual IC Cost Burden (Dollars) 1,015,280 0 0 0 0 1,015,280

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