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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
500 or More Affected Individuals (investigating and documenting breach)
New
267
13350
0
Access of Individuals to Protected Health Information (disclosures)
Modified
200000
10000
0
Accounting for Disclosures of Protected Health Information
Modified
5000
250
0
Amendment of Protected Health Information (denials)
Modified
50000
4167
0
Amendment of Protected Health Information (requests)
Modified
150000
12500
0
Business Associates Needing to establish or Modify Business Associate Agreements with Subcontrractors
Removed
0
0
0
Contingency Plan- Criticality Analysis
New
1700000
6800000
0
Contingency Plan- Testing and Revision
New
1700000
13600000
0
Dissemination of Notice of Privacy Practices for Protected Health Information(health Plans)
Removed
0
0
0
Documentation - Review and Update
New
1700000
10200000
0
Documentation of Security Rule Policies and Procedures and Administrative safeguards business associates
Removed
0
0
0
Individual Notice- Substitute Notice (posting or publishing)
New
2746
2746
0
Individual Notice- Written and E-mail Notice (drafting)
New
58481
29241
0
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information)
New
11326440
1415805
0
Individual Notice-Substitute Notice (staffing toll-free number)
New
2746
15790
0
Individual Notice-Written and E-mail Notice (preparing and documenting notification)
New
58481
29241
0
Individual Notice-Written and E-mail Notice(processing and sending)
New
20643793
165150
0
Information System Activity Review- Documentation
New
20400000
15300000
0
Less than 500 Affected Individuals (investigating and documenting breach)
New
2479
19832
0
Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals
New
55736
222944
0
Maintenance Records
New
20400000
122400000
0
Media Notice
New
267
334
0
Notice of Privacy Practice for Protected Health Information (Health plans- periodic distribution of NPPs by electronic mail)
Modified
100000000
278333
0
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination/acknowledgement
Unchanged
613000000
30650000
0
Notice of privacy Practices for Protected Health Information/health plan distribution paper mail
Modified
100000000
416667
0
Notice to Secretary (notice for breaches affecting 500 or more individuals)
New
267
334
0
Notice to Secretary (notice for breaches affecting fewer than 500 individuals)
New
58215
58215
0
Process for Requesting Exception Determinations (states or persons)
Unchanged
1
16
0
Revision of Notice of Privacy Practices for Protected Health Information (drafting revised language health plan
Removed
0
0
0
Revison of Notice of Privacy Practices (providers)
Removed
0
0
0
Rights to request privacy protection for protected health information
Modified
200000
10000
0
Risk Analysis-Documentation
New
1700000
17000000
0
Security Incidents (other than breaches)- Documentation
New
88400000
442000000
0
Security Incidents- Business Associate reporting of incidents (other than breach) to Covered Entities
New
12000000
240000000
0
Security Reminders- Periodic Updates
New
20400000
20400000
0
Uses and Disclosures for Research Purposes
Modified
113524
9460
0
Uses and Disclosures for which Individual authorization is required
Unchanged
700000
700000
0
Uses and Disclosures-Organizational Requirement
Unchanged
700000
58333
0
Total burden requested under this ICR:
1015728443
921822708
0
To view an IC, click on IC Title