OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0990-0294 · HHS/HHSDM.

OMB 0990-0294

Latest Forms, Documents, and Supporting Material

Document Name
0990-0294 Extension Supporting Statement 7-27-12.doc Supporting Statement A
Accounting for Disclosures of Protected Health Information
Amendment of Protected Health Information (denials)
Amendment of Protected Health Information (requests)
Access of Individuals to Protected Health Information (disclosures)
Rights to Request Privacy Protection for Protected Health Information
Notice of Privacy Practices for Protected Health Information (health care providers - acknowledgement)
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination
Notice of privacy Practices for Protected Health Information
Uses and Disclosures for which consent individual authorization or opportunity to agree or Object is not required
Uses and Disclosures for which Individual authorization is required
Uses and Disclosures-Organizational Requirementw
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164

All Historical Document Collections

201209-0990-004 Approved without change	Extension without change of a currently approved collection	2012-09-28
200907-0990-004 Approved without change	Extension without change of a currently approved collection	2009-07-31
200512-0990-001 Approved without change	Revision of a currently approved collection	2005-12-13
200508-0990-002 Approved without change	New collection (Request for a new OMB Control Number)	2005-08-29