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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:
0915-0126
ICR Reference No:
201304-0915-002
Status:
Historical Active
Previous ICR Reference No:
201109-0915-001
Agency/Subagency:
HHS/HSA
Agency Tracking No:
19186
Title:
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Regulations and Forms
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/28/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/16/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2016
36 Months From Approved
12/31/2013
Responses
1,696,115
0
3,720,492
Time Burden (Hours)
265,978
0
324,823
Cost Burden (Dollars)
0
0
16,732,083
Abstract:
The National Practitioner Data Bank (NPDB) is required to receive and release under 45 CFR Part 60 certain adverse data regarding physicians, dentists, and other licensed health care practitioners. Data collected on adverse actions and information relating to the professional competence and condcut of physicians and other health care practitioners will be shared with hospitals, licensing boards, professional societies, and selected health providers. These data will be used to maintain and improve health care and will be obtained from insurers, licensure boards, hospitals, and other providers.
Authorizing Statute(s):
PL:
Pub.L. 104 - 101 221
Name of Law: Establishment of the Health Care Fraud and Abuse Data Collection Program
PL:
Pub.L. 99 - 660 402
Name of Law: Health Care Quality Improvement Act of 1986
US Code:
42 USC 11101
Name of Law: Health Care Quality Improvement Act of 1986
US Code:
42 USC 1301
Name of Law: Health Care and Abuse Data Collection Program
US Code:
42 USC 136r-2
Name of Law: 2. Section 1921 of the Social Security Act
US Code:
42 USC 1320a-7e
Name of Law: 3. Section 1128E of the Social Security Act
PL:
Pub.L. 111 - 148 6403
Name of Law: Patient Protection and Affordable Care Act of 2010
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:
78 FR 1214
01/08/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 20929
04/08/2013
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
30
IC Title
Form No.
Form Name
Account Discrepancy
30
Account Discrepancy
Accreditation
6
Accreditation
Agent Registration (Initial)
26
Agent Registration (Initial)
Agent Registration (Renewal & Update)
27
Agent Registration (Renewal & Update)
Authorized Agent Designation
29
Authorized Agent Designation
Civil Judgment
13
Civil Judgement
Continuous Query
21
Continuous Query
Correction, Revision to Action, Correction of Revision to Action, Void, Action on Appeal
1
Correction, Revision to Action, Correction of Revision to Action, Void, Action on Appeal
Criminal Conviction (Guilty Plea or Trial)
9
Criminal Conviction (Guilty Plea or Trial)
DEA/Federal Licensure
4
DEA/Federal Licensure
Deferred Conviction or Pre-Trial Diversion
10
Deferred Conviction or Pre-Trial Diversion
Electronic Transfer of Funds (ETF) Authorization
28
Electronic Transfer of Funds (ETF) Authorization
Entity Registration (Initial)
24
Entity Registration (Initial)
Entity Registration (Renewal & Update)
25
Entity Registration (Renewal & Update)
Exclusion/Debarment
14
Exclusion/Debarment
Government Administrative
15
Government Administrative
Health Plan Action
16
Health Plan Action
Injunction
12
Injunction
Medical Malpractice Payment
2
Medical Malpractice Payment
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Pract
NPDB Identity Proofing Forms, 0915-0126 NPDB Forms
NPDB Identity Proofing Forms
,
NPDB Forms
Nolo Contendere (no contest) plea
11
Nolo Contendere (no contest) plea
One Time Query for an Individual
17
One Time Query for an Individual
One Time Query for an Organization
18
One Time Query for an Organization
Peer Review Organization
5
Peer Review Organization
Professional Society
8
Professional Society
Request for Secretarial Review
23
Request for Secretarial Review
Section 1921 forms
2, 1, 3
60.10: Adverse Actions - Private Accreditation
,
60.9: Licensure Actions
,
60.10: Adverse Actions - Peer Review Organizations
Self-Query on an Individual
19
Self-Query on an Individual
Self-Query on an Organization
20
Self-Query on an Organization
State Licensure
3
State Licensure
Subject Statement and Dispute
22
Subject Statement and Dispute
Title IV Clinical Privileges Actions
7
Title IV Clinical Privileges Actions
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
1,696,115
3,720,492
0
-2,027,059
2,682
0
Annual Time Burden (Hours)
265,978
324,823
0
-60,857
2,012
0
Annual Cost Burden (Dollars)
0
16,732,083
0
-16,732,083
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
There are currently a total of 469,844 hours in the OMB inventory for both data banks (323,694 hours for the NPDB and 146,190 hours for the HIPDB). This request will be 265,978 hours. The result of the HIPDB-NPDB merger alleviates duplication and streamlines internal operations, resulting in a decrease of burden to users by 203,866 hours
Annual Cost to Federal Government:
$18,041,000
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]?
Yes
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:
Jodi Duckhorn 301 443-1984
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:
04/16/2013
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