OMB control number
HITECH Act Breach Notification
OMB 0990-0346 ยท HHS/HHSDM.
OMB 0990-0346
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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) |
Information collection |
| Notice to Secretary |
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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201001-0990-001 | Extension without change of a currently approved collection | 2010-01-11 | Approved without change | |
| 200909-0990-005 | New collection (Request for a new OMB Control Number) | 2009-09-24 | Approved with change |