Single-person Breaches

Health Breach Notification Rule

Documents and Forms

Document Name Document Type
Form Not Applicable Single-person Breaches Form and Instruction
Not Applicable Notice of Breach of Health Information Health Breach Notification Rule Form.pdf www.ftc.gov/system/files/documents/rules/health-breach-notification-rule/r2911002_hbn_092015.pdf Form and Instruction

Information Collection (IC) Details