Information Collection Request
Health Breach Notification Rule
ICR 202305-3084-001 · OMB 3084-0150 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3084-0150 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Not Applicable Major Breaches |
Form and Instruction | Unchanged | Available |
| Form Not Applicable Single-person Breaches |
Form and Instruction | Unchanged | Repair queued |
 Health Breach Notification Rule - 2023 Supporting Statement - Final.pdf |
Supporting Statement A | Uploaded 2023-06-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 260390 |  Notice to Consumers (Non-Labor Costs for Breaches without Forensic Services) |
New | ||
| 260389 | Notice to Consumers (Non-Labor Costs for Breaches that include Forensic Services) |
New | ||
| 235941 | Major Breaches |
Form and Instruction | Unchanged | |
| 188848 | Single-person Breaches |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | FTC |
| OMB Control No | 3084-0150 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202205-3084-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |