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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0915-0239
ICR Reference No:
201010-0915-005
Status:
Historical Active
Previous ICR Reference No:
200708-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
Title:
Health Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers and Practitioners
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/06/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/28/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2014
36 Months From Approved
05/31/2011
Responses
985,754
0
985,754
Time Burden (Hours)
146,190
0
120,982
Cost Burden (Dollars)
4,980,736
0
3,865,278
Abstract:
Section 1128 E of the Social Security Act directs the Secretary of Health and Human Services to establish a national health care fraud and abuse data collection program for the reporting and disclosure of certain final adverse actions taken against health care providers, suppliers, or practitioners. The Health Integrity and Protection Data Bank (HIPDB)is the database maintaining final adverse actions taken against health care providers, suppliers, or practitioners.
Authorizing Statute(s):
US Code:
42 USC 11101
Name of Law: Health Care Quality Improvement Act of 1986
PL:
Pub.L. 104 - 101 221
Name of Law: Establishment of the Health Care Fraud and Abuse Data Collection Program
US Code:
42 USC 1301
Name of Law: Health Care and Abuse Data Collection Program
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
75 FR 29348
05/25/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 62836
10/13/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Health Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers and Practitioners
hipdb_001, hipdb_002, hipdb_eauth_001, hipdb_eauth_003, hipdb_eauth_002, hipdb_eauth_004, hipdb_eauth_005, hipdb_eauth_006, hipdb_eauth_007, hipdb_eauth_008
hipdb_001
,
hipdb_002
,
hipdb_eauth_001
,
hipdb_eauth_003
,
hipdb_eauth_002
,
hipdb_eauth_004
,
hipdb_eauth_005
,
hipdb_eauth_006
,
hipdb_eauth_007
,
hipdb_eauth_008
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
985,754
985,754
0
0
0
0
Annual Time Burden (Hours)
146,190
120,982
0
25,208
0
0
Annual Cost Burden (Dollars)
4,980,736
3,865,278
0
1,115,458
0
0
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:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Amanda Cash 301 443-0208 amanda.cash@hrsa.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/28/2010
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