Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
202310-0915-003
Status:
Historical Active
Previous ICR Reference No:
202101-0915-002
Agency/Subagency:
HHS/HSA
Agency Tracking No:
19186
Title:
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 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:
01/10/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/09/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2027
36 Months From Approved
04/30/2024
Responses
8,114,604
0
7,101,274
Time Burden (Hours)
374,258
0
348,368
Cost Burden (Dollars)
0
0
0
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 conduct 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):
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
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
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:
88 FR 57118
08/22/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 76770
11/07/2023
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
44
IC Title
Form No.
Form Name
Account Balance Transfer
39
Account Balance Transfer.pdf
Account Discrepancy
35
Account Discrepancy.pdf
Accreditation
6
Accreditation.pdf
Agent Registration (Initial)
31
Agent Registration (Initial).pdf
Agent Registration (Renewal & Update)
32
Agent Registration (Renewal & Update).pdf
Authorized Agent Attestation
26
Authorized Agent Attestation.pdf
Authorized Agent Designation
34
Authorized Agent Designation.pdf
Civil Judgment
13
Civil Judgment.pdf
Continuous Query
21
Continuous Query
Correction, Revision to Action, Correction of Revision to Action, Void, Action on Appeal
1
Correction Revision-to-Action Void Notice of Appeal
Corrective Action Plan (Entity)
29
Corrective Action Plan (Entity).pdf
Criminal Conviction (Guilty Plea or Trial)
9
Criminal Conviction (Guilty Plea or Trial).pdf
DEA/Federal Licensure
4
DEA_Federal Licensure.pdf
Deferred Conviction or Pre-Trial Diversion
10
Deferred Conviction or Pre-Trial Diversion.pdf
Education Request
38
Education Request.pdf
Electronic Transfer of Funds (EFT) Authorization
33
Electronic Funds Transfer (EFT) Authorization.pdf
Entity Registration (Initial)
24
Entity Registration (Initial).pdf
Entity Registration (Renewal & Update)
25
Entity Registration (Renewal & Update).pdf
Exclusion/Debarment
14
Exclusion or Debarment.pdf
Government Administrative
15
Government Administrative.pdf
Health Center Attestation
41
Health Center Attestation.pdf
Health Plan Action
16
Health Plan Action.pdf
Hospital Attestation
42
Hospital Attestation.pdf
Injunction
12
Injunction.pdf
Medical Malpractice Payer, Peer Review Organization, or Private Accreditation Organization Attestation
43
Medical Malpractice Payer Attestation.pdf
Medical Malpractice Payment
2
Medical Malpractice Payment.pdf
Missing Report from Query Form
40
Missing Report from Query.pdf
New Administrator Request
36
New Administrator Request.pdf
Nolo Contendere (no contest) plea
11
Nolo Contendere (no contest plea).pdf
One Time Query for an Individual
17
One-Time Query for an Individual.pdf
One Time Query for an Organization
18
One-Time Query for an Organization.pdf
Other Eligible Entity Attestation
44
Other Eligible Entity Attestation.pdf
Peer Review Organization
5
Peer Review Organization.pdf
Professional Society
8
Professional Society.pdf
Purchase Query Credits
37
Purchase Query Credits.pdf
Reconciling Missing Actions
30
Reconciling Missing Actions.pdf
Request for Dispute Resolution
23
Request for Dispute Resolution.pdf
Self-Query on an Individual
19
Self-Query on an Individual.pdf
Self-Query on an Organization
20
Self-Query on an Organization.pdf
State Licensing Board Attestation
28
State Licensing Board Attestation.pdf
State Licensing Board Data Request
27
State Licensing Board Data Request.pdf
State Licensure
3
State Licensure or Certification.pdf
Subject Statement and Dispute
22
Subject Statement and Dispute.pdf
Title IV Clinical Privileges Actions
7
Title IV Clinical Privileges Actions.pdf
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
8,114,604
7,101,274
0
1,013,330
0
0
Annual Time Burden (Hours)
374,258
348,368
0
25,890
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
The increase is mainly attributable to the higher use of Query forms (i.e., Continuous Query, Self-Query on an Individual, One-Time Query for an Individual, and One-time Query for an Organization). For items where there is a burden reduction, it is typically due to a reduction in the number of people responding based off responses received in prior years.
Annual Cost to Federal Government:
$23,600,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
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?
No
Agency Contact:
Joella Roland 301 945-0232 jroland@hrsa.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:
11/09/2023
An official website of the United States government
The .gov means it's official.
The site is secure.
