Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Notice of Fees for Copies of PHI―Post fee schedule online New 774331 129055 0
500 or More Affected Individuals (investigating and documenting breach) Modified 267 13350 0
Access of Individuals to Protected Health Information (disclosing copies of ePHI to health plans and providers) New 153750 10250 0
Access of Individuals to Protected Health Information (disclosing copies of ePHI to other third parties) New 153750 5125 0
Access of Individuals to Protected Health Information (disclosures) Modified 1230000 20500 0
Access of Individuals to Protected Health Information (submitting requests for individuals to direct copies of ePHI to plans and providers) New 92250 5381 0
Accounting for Disclosures of Protected Health Information Modified 5000 250 0
Administrative Requirements - Training (right of access and fee estimates - medical records staff) New 774331 90339 0
Administrative Requirements – Policies & Procedures (disclosures for Uniformed Services & Telecommunications Relay Services) New 774331 129055 0
Administrative Requirements – Policies & Procedures (disclosures under 164.510; uses and disclosures to prevent harm, 164.512) New 768169 768169 0
Administrative Requirements – Policies & Procedures (minimum necessary and social services agencies for care coordination) New 774331 967914 0
Administrative Requirements – Policies & Procedures (revising the Notice of Privacy Practices) New 774331 774331 0
Administrative Requirements – Policies & Procedures (right of access & fee estimates) New 774331 2322993 0
Administrative Requirements – Policies & Procedures (verification of identity) New 38717 19359 0
Administrative Requirements – Training (disclosing PHI under 164.510; uses and disclosures to prevent harm, 164.512(j)) New 768169 512113 0
Administrative Requirements – Training (disclosures for Uniformed Services, 164.512(k); disclosures to Telecommunications Relay Services for treatment, payment and health care operations) New 774331 193583 0
Administrative Requirements – Training (minimum necessary, 164.514) New 774331 774331 0
Administrative Requirements – Training (notice of privacy practices, changes in content & right to discuss privacy practices, 164.520) New 774331 64528 0
Administrative Requirements – Training (right of access and fee estimates) New 774331 1935828 0
Administrative Requirements – Training (verification of identity) New 38717 6453 0
Amendment of Protected Health Information (denials) Modified 50000 4167 0
Amendment of Protected Health Information (requests) Modified 150000 12500 0
Business Associate Notice to Covered Entity – 500 or more affected individuals Modified 20 1000 0
Business Associate Notice to Covered Entity – Less than 500 affected individuals Modified 1165 9320 0
Contingency Plan- Criticality Analysis Modified 1774331 7097324 0
Contingency Plan- Testing and Revision Modified 1774331 14194648 0
Documentation - Review and Update Modified 1774331 10645986 0
Individual Notice- Substitute Notice (posting or publishing) Modified 2746 2746 0
Individual Notice- Written and E-mail Notice (drafting) Modified 58482 29241 0
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information) Modified 113264 14158 0
Individual Notice-Substitute Notice (staffing toll-free number) Modified 2746 9391 0
Individual Notice-Written and E-mail Notice (preparing and documenting notification) Modified 58482 29241 0
Individual Notice-Written and E-mail Notice(processing and sending) Modified 113513562 908108 0
Information System Activity Review- Documentation Modified 21291972 15968979 0
Less than 500 Affected Individuals (investigating and documenting breach) Modified 2479 19832 0
Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals Modified 55736 222944 0
Maintenance Records Modified 21291972 127751832 0
Media Notice Modified 267 334 0
Minimum necessary evaluations for treatment, payment, and health care operations - uses and disclosures New 774331 10840634 0
Notice of Access and Authorization Fees - Individualized estimates New 73800 3690 0
Notice of Access and Authorization Fees - Itemized list of charges New 24600 410 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 Modified 613000000 12770833 0
Notice of Privacy Practices for Protected Health Information (right to discuss privacy practices) New 6130000 715167 0
Notice of Privacy Practices for Protected Health Information – Post updated notice online New 774331 129055 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) Modified 267 334 0
Notice to Secretary (notice for breaches affecting fewer than 500 individuals) Modified 58215 58215 0
Process for Requesting Exception Determinations (states or persons) Unchanged 1 16 0
Rights to request privacy protection for protected health information Modified 40000 2000 0
Risk Analysis-Documentation Modified 1774331 17743310 0
Security Incidents (other than breaches)- Documentation Modified 92265212 461326060 0
Security Incidents- Business Associate reporting of incidents (other than breach) to Covered Entities Modified 12000000 240000000 0
Security Reminders- Periodic Updates Modified 21291972 21291972 0
Uses and Disclosures for Research Purposes Modified 113524 9460 0
Uses and Disclosures for which Individual authorization is required Modified 774331 774331 0
Uses and Disclosures-Organizational Requirement Modified 774331 64528 0
Total burden requested under this ICR: 1122777231 952089673 0  
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