Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Access of Individuals to Protected Health Information (disclosures) Modified 150000 7500 0
Accounting for Disclosures of Protected Health Information Modified 70000 5833 0
Amendment of Protected Health Information (denials) Modified 50000 2500 0
Amendment of Protected Health Information (requests) Modified 150000 7500 0
Business Associates Needing to establish or Modify Business Associate Agreements with Subcontrractors New 375000 125000 0
Dissemination of Notice of Privacy Practices for Protected Health Information(health Plans) New 20000000 66667 0
Documentation of Security Rule Policies and Procedures and Administrative safeguards business associates New 300000 350000 0
Notice of Privacy Practices for Protected Health Information (health care providers - acknowledgement) Removed 0 0 0
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination/acknowledgement Modified 613000000 30650000 0
Notice of privacy Practices for Protected Health Information/health plan by distibution by paper mail Modified 100000000 416667 0
Process for Requesting Exception Determinations (states or persons) Modified 1 16 0
Revision of Notice of Privacy Practices for Protected Health Information (drafting revised language health plan New 1500 167 0
Revison of Notice of Privacy Practices (providers) New 697000 77444 0
Rights to Request Privacy Protection for Protected Health Information/distribution by electronic mail Modified 100000000 278333 0
Rights to request privacy protection for protected health information New 150000 7500 0
Uses and Disclosures for which Individual authorization is required Modified 700000 700000 0
Uses and Disclosures for which consent individual authorization or opportunity to agree or Object is not required Modified 113524 9460 0
Uses and Disclosures-Organizational Requirement Modified 700000 58333 0
Total burden requested under this ICR: 836457025 32762920 0  
To view an IC, click on IC Title