Information Collection Request

Comprehensive Communication Campaign for HITECH ACT

ICR 201407-0955-001 · OMB 0955-0005 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0955-0005-Part B ComprehensiveCommunicationHITECT Statement Bextension.docx Supporting Statement B Uploaded 2014-07-02 Available
0955-0005 Parts A SS_ Communication Campaign Extension (2).docx Supporting Statement A Uploaded 2014-07-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214006 Health Care Provider PHI Access Online Survey Other-survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 09/30/2014
34,366 0 34,366
6,928 0 6,928
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Health Care Provider PHI Access Online Survey

table that charts list of burden
  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 34,366 34,366 0 0 0 0
Annual Time Burden (Hours) 6,928 6,928 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No