National Survey of Health Information Exchange Organizations (HIO)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0000 National Survey of Health Information Exchange Organizations (HIO)	Form and Instruction	Unchanged	Available
HIO Supporting Statement B.docx	Supporting Statement B	Uploaded 2019-03-19	Available
0955-ONC Supporting Statement A - HIO Survey Oct 5.doc	Supporting Statement A	Uploaded 2019-03-19	Available
03.19.2019 OMB response on HIO survey.docx	Supplementary Document	Uploaded 2019-03-19	Available
30-day FRN 0955- HIO 2018-27469.pdf	Supplementary Document	Uploaded 2018-12-20	Available
60 Day FRN-published.pdf	Supplementary Document	Uploaded 2018-12-04	Available
HIO IRB Outcome_Letter.pdf	Supplementary Document	Uploaded 2018-10-03	Available
2018 HIE Survey.doc	Supplementary Document	Uploaded 2018-10-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233372	National Survey of Health Information Exchange Organizations (HIO)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0955-0019	ICR Reference No: 201903-0955-001
Status: Active	Previous ICR Reference No: 201810-0955-001
Agency/Subagency: HHS/ONC	Agency Tracking No: OS-0955-000
Title: National Survey of Health Information Exchange Organizations (HIO)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/17/2019
	Date Received in OIRA: 03/21/2019
Terms of Clearance: Note: previous iterations of the survey were not funded by the Federal Government so there would be no prior OMB number. Funding previously was provided by the Robert Wood Johnson Foundation.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved
Responses	200	0	0
Time Burden (Hours)	67	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: There is growing consensus that achieving broad-based HIE is one of the most difficult components of HITECH. This is because successful HIE at scale involves coordination between many stakeholders, including but not limited to federal and state policymakers, healthcare delivery organizations, EHR and HIE vendors, and specific organizations supporting HIE, such as health information organizations (HIOs) and health information service providers (HISPs). Further, the issues requiring coordination are diverse, spanning technical standards, consent regulations, business models and incentives, workflow integration, trust and governance, and information privacy and security. Three HIE issues have proven particularly challenging: implementation of and use of standards, information blocking, and sustainability. The ultimate goal of our project is to administer a survey instrument to HIOs in order to generate the most current national statistics and associated actionable insights on electronic health information exchange to inform policy efforts.

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Authorizing Statute(s): US Code: 42 USC 17901 Name of Law: Health Information Technology for Economic and Clinical Health
   US Code: 42 USC 17903 Name of Law: Health Information Technology for Economic and Clinical Health
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 51962	10/15/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 65171	12/19/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Survey of Health Information Exchange Organizations (HIO)	0000	National Survey of Health Information Exchange Organizations

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ICR Summary of Burden

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	200	0	0	200	0	0
Annual Time Burden (Hours)	67	0	0	67	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no burden increase because this is a new IC.

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Annual Cost to Federal Government: $1,800

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/21/2019

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