OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

HITECH Act Breach Notification

OMB 0945-0001 ยท HHS/OCR.

OMB 0945-0001

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
0990-BreachPRA Supplementary Statement.doc Supplementary Document
0990-BreachPRA Supplementary Statement.doc Supplementary Document
0990-BreachPRA Supplementary Statement.doc Supplementary Document
18737 ID_0945-0001_HITECH_Omnibus_Breach_020120131.docSupporting Statement A
Individual Notice--Substitute Notice (setting up and staffing toll-free number) Information collection
Less than 500 Affected Individuals (investigating and documenting breach)affecting Information collection
Individual Notice--Written and E-mail Notice (processing and sending) Information collection
Individual Notice--Written and E-mail Notice (preparing and documenting notification) Information collection
Individual Notice--Substitute Notice (posting or publishing) Information collection
Notice to Secretary(notice for breaches affecting fewer than 500 individuals) Information collection
Media Notice Information collection
Individual Notice substitute Notice Information collection
Less than 500 affected individuals Information collection
500 or more affected Individuals Information collection
Individual Notice Written and E-mail Notice Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201302-0945-002 Revision of a currently approved collection 2013-02-22 Approved with change
201211-0945-001 Extension without change of a currently approved collection 2012-11-09 Approved without change