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 sort table data.
Information Collection Search Results
PRA Search Criteria:
Text(Majority of Text Boxes)=0945-0002.
Number Of Records Found:
5
Number of Distinct OMB Control Numbers:
1
New Search
Refine Search Result
OMB Control No
Agency/Sub
Title
Request Type
Date Received
Concluded Date
Conclusion Action
Current Expiration Date
No. of ICs
No. of Forms
0945-0002
HHS/OCR
Complaint Forms for Discrimination; Health Information Privacy Complaints
Extension without change of a currently approved collection
01/17/2013
01/17/2013
Approved with change
04/30/2016
2
0
0945-0002
HHS/OCR
Complaint Forms for Discrimination; Health Information Privacy Complaints
Extension without change of a currently approved collection
12/30/2015
04/06/2016
Approved without change
04/30/2019
2
0
0945-0002
HHS/OCR
Complaint Forms for Discrimination; Health Information Privacy Complaints
No material or nonsubstantive change to a currently approved collection
11/07/2017
12/11/2017
Approved with change
11/30/2019
2
0
0945-0002
HHS/OCR
Complaint Forms for Discrimination; Health Information Privacy Complaints
Revision of a currently approved collection
06/25/2019
11/12/2019
Approved without change
12/31/2022
2
0
0945-0002
HHS/OCR
Complaint Forms for Civil Rights and Conscience; Health Information Privacy and Security Complaints
Extension without change of a currently approved collection
10/31/2022
12/19/2022
Approved with change
12/31/2025
2
2