Single-person Breaches

Health Breach Notification Rule

OMB: 3084-0150

IC ID: 188848

Information Collection (IC) Details

View Information Collection (IC)

Single-person Breaches
 
No Modified
 
Mandatory
 
16 CFR 318

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Not Applicable Notice of Breach of Health Information Health Breach Notification Rule Form.pdf https://www.ftc.gov/system/files/documents/rules/health-breach-notification-rule/r2911002_hbn_092015.pdf Yes Yes Fillable Fileable

Economic Development Business and Industry Development

 

25,000 0
   
Private Sector Businesses or other for-profits
 
   90 %

  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 25,000 0 0 24,998 0 2
Annual IC Time Burden (Hours) 139 0 0 -3,128 0 3,267
Annual IC Cost Burden (Dollars) 0 0 0 -49,960 0 49,960

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