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  
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