Information Collection Request

Health Breach Notification Rule

ICR 202403-3084-001 · OMB 3084-0150 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Not Applicable Notice for Health Applications (Non-Labor Costs for Breaches without Forensic Services) Form and Instruction Modified Repair queued
Form Not Applicable Notice for Health Applications (Non-Labor Costs for Breaches that include Forensic Services) Form and Instruction Modified Repair queued
Form Not Applicable Major Breaches Form and Instruction Modified Repair queued
Form Not Applicable Single-person Breaches Form and Instruction Modified Repair queued
HBNR_2024_Supporting Statement_Final .pdf Supporting Statement A Uploaded 2024-05-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260390 Notice for Health Applications (Non-Labor Costs for Breaches without Forensic Services) Form and Instruction Modified
260389 Notice for Health Applications (Non-Labor Costs for Breaches that include Forensic Services) Form and Instruction Modified
235941 Major Breaches Form and Instruction Modified
188848 Single-person Breaches Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
FTC
3084-0150
Revision of a currently approved collection
202305-3084-001
1969-12-31
1969-12-31