HITECH Act Breach Notification

OMB 0990-0346

OMB 0990-0346

Latest Forms, Documents, and Supporting Material

Document Name
0990-BreachPRA Supplementary Statement.doc Supplementary Document
0990-0346 Breach_Supporting_Statement FINAL12 15 09.doc Supporting Statement A
Individual Notice--Substitute Notice (posting or publishing)
Notice to Secretary
Media Notice
Individual Notice substitute Notice
Less than 500 affected individuals
500 or more affected Individuals
Individual Notice Written and E-mail Notice

All Historical Document Collections

201001-0990-001 Approved without change	Extension without change of a currently approved collection	2010-01-11
200909-0990-005 Approved with change	New collection (Request for a new OMB Control Number)	2009-09-24

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