Survey of Eligible Users of the National Practitioner Databank

Forms and Documents

Document Name	Status
Form 1 Users, Non-Users, Entities Respondents Form and Instruction	Modified
Form 2 Self-Query Survey Form and Instruction	Modified
Attachment 7 Who can query.docx Supplementary Document	2021-02-11
Attachment 6 Glossary.docx Supplementary Document	2021-02-11
Attachment 5 CQ report notification.docx Supplementary Document	2021-02-11
Attachment 4 Report notification.docx Supplementary Document	2021-02-11
Attachment 3 Insight article.docx Supplementary Document	2021-02-11
Attachment 2 Research questions.docx Supplementary Document	2021-02-11
Attachment 1 Overview of the NPDB.docx Supplementary Document	2021-02-11
Supporting Statement B.docx Supporting Statement B	2021-02-11
FINAL USE THIS VERSION - Supporting Statment A.docx Supporting Statement A	2021-02-11

IC Document Collections

IC ID	Document Title	Status
207742	Users, Non-Users, Entities Respondents Form and Instruction	Modified
207741	Self-Query Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0366	ICR Reference No: 202102-0915-002
Status: Received in OIRA	Previous ICR Reference No: 201307-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No: 19871
Title: Survey of Eligible Users of the National Practitioner Databank
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/11/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	17,000	0
Time Burden (Hours)	3,950	0
Cost Burden (Dollars)	0	0

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Abstract: The purpose of this survey is to assess the overall satisfaction of the eligible users of the NPDB. This survey will evaluate the effectiveness of the NPDB as a flagging system, source of information, and use in decision making. Furthermore, this survey will collect information from eligible non-users of the NPDB/HIPDB to understand what can be done to aid the eligible non-users in registering, accessing, and using the information available.

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Authorizing Statute(s): PL: Pub.L. 99 - 660 11101 Name of Law: Health Care Quality Improvement Act
  

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:
	85 FR 65833	10/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8917	02/10/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Self-Query Survey	2	Self Query Respondents survey screenshots.pdf
Users, Non-Users, Entities Respondents	1	Users Non-Users Entites survey screenshots.pdf

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ICR Summary of Burden

	Total Request	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	17,000	0	0	17,000	0	0
Annual Time Burden (Hours)	3,950	0	0	3,950	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: The increase is a result in an increase in the number of respondents. The attachments in each IC are the word versions of the form screenshots.

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Annual Cost to Federal Government: $370,000

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? No

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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: 02/11/2021

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