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HITECH Act Breach Notification
OMB 0990-0346
OMB.report
HHS/HHSDM
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All Historical Document Collections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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