HIPAA Audit Review Survey

ICR 201305-0945-002

OMB: 0945-0005

Federal Form Document

Forms and Documents
Supporting Statement A
IC Document Collections
ICR Details
0945-0005 201305-0945-002
Historical Active
HHS/OCR 19129
HIPAA Audit Review Survey
New collection (Request for a new OMB Control Number)   No
Approved without change 07/02/2013
Retrieve Notice of Action (NOA) 05/31/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved
115 0 0
52 0 0
0 0 0

The information, opinions, and comments collected using the information collection will be used to produce recommendations for improving the HIPAA Audit program. The HIPAA Audit program is mandated under Section 13411 of the HITECH Act (42 U.S.C. 17940): "The Secretary shall provide for periodic audits to ensure that covered entities and business associates that are subject to the requirements of this subtitle and subparts C and E of part 164 of title 45, Code of Federal Regulations, as such provisions are in effect as of the date of enactment of this Act, comply with such requirements.

US Code: 42 USC 17940 Name of Law: HITECH Act

Not associated with rulemaking

  78 FR 16856 03/19/2013
78 FR 32389 05/30/2013

IC Title Form No. Form Name
Covered Entity Privacy and Security Officers

  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 115 0 0 115 0 0
Annual Time Burden (Hours) 52 0 0 52 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
new collection

Sherrette Funn-Coleman 2026905683


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.

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