View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0915-0239	ICR Reference No: 200003-0915-001
Status: Historical Active	Previous ICR Reference No: 199910-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers and Practitioners (45 CFR 61)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2001
	Date Received in OIRA: 03/31/2000
Terms of Clearance: As per previous terms of clearance, the agency will ensure that all forms used for the Health Integrity and Protection Data Bank will be submitted electronically once HRSA puts in place a system that can support the electronic transmission of original individual signatures with adequate security protection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2004	08/31/2004	03/31/2001
Responses	1,282,004	0	1,282,004
Time Burden (Hours)	187,169	0	187,169
Cost Burden (Dollars)	2,107,000	0	2,107,000

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	1,282,004	1,282,004
Annual Time Burden (Hours)	187,169	187,169
Annual Cost Burden (Dollars)	2,107,000	2,107,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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