Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting

Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164

OMB: 0945-0003

IC ID: 221884

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Information Collection (IC) Details

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Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals
 
No Unchanged
 
Mandatory
 
45 CFR Parts 160 and 164  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

55,736 0
   
State, Local, and Tribal Governments
 
   0 %

  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 55,736 0 0 0 0 55,736
Annual IC Time Burden (Hours) 222,944 0 0 0 0 222,944
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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