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
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Complaint Forms for Discrimination; Health Information Privacy Complaints
Modified
3493
2620
0
Other-form
Other-form
Health Information Privacy Complaint Form
Unchanged
10286
7715
0
Other-Form
Total burden requested under this ICR:
13779
10335
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
