Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
500 or More Affected Individuals (investigating and documenting breach) Unchanged 267 13350 0
Access of Individuals to Protected Health Information (disclosures) Unchanged 200000 10000 0
Accounting for Disclosures of Protected Health Information Unchanged 5000 250 0
Amendment of Protected Health Information (denials) Unchanged 50000 4167 0
Amendment of Protected Health Information (requests) Unchanged 150000 12500 0
Business Associate Notice to Covered Entity – 500 or more affected individuals Unchanged 20 1000 0
Business Associate Notice to Covered Entity – Less than 500 affected individuals Unchanged 1165 9320 0
Contingency Plan- Criticality Analysis Modified 1700000 6800000 0
Contingency Plan- Testing and Revision Modified 1700000 13600000 0
Documentation - Review and Update Modified 1700000 10200000 0
Individual Notice- Substitute Notice (posting or publishing) Modified 2746 2746 1318080
Individual Notice- Written and E-mail Notice (drafting) Unchanged 58482 29241 0
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information) Unchanged 113264 14158 0
Individual Notice-Substitute Notice (staffing toll-free number) Modified 2746 9391 204403
Individual Notice-Written and E-mail Notice (preparing and documenting notification) Unchanged 58482 29241 0
Individual Notice-Written and E-mail Notice(processing and sending) Modified 113513562 908108 42021656
Information System Activity Review- Documentation Modified 20400000 15300000 0
Less than 500 Affected Individuals (investigating and documenting breach) Unchanged 2479 19832 0
Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals Unchanged 55736 222944 0
Maintenance Records Modified 20400000 122400000 0
Media Notice Unchanged 267 334 0
Notice of Privacy Practice for Protected Health Information (Health plans- periodic distribution of NPPs by electronic mail) Unchanged 100000000 278333 0
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination/acknowledgement Modified 613000000 30650000 61300000
Notice of privacy Practices for Protected Health Information/health plan distribution paper mail Modified 100000000 416667 16439800
Notice to Secretary (notice for breaches affecting 500 or more individuals) Unchanged 267 334 0
Notice to Secretary (notice for breaches affecting fewer than 500 individuals) Unchanged 58215 58215 0
Process for Requesting Exception Determinations (states or persons) Unchanged 1 16 0
Rights to request privacy protection for protected health information Unchanged 20000 1000 0
Risk Analysis-Documentation Modified 1700000 17000000 0
Security Incidents (other than breaches)- Documentation Modified 88400000 442000000 0
Security Incidents- Business Associate reporting of incidents (other than breach) to Covered Entities Unchanged 12000000 240000000 0
Security Reminders- Periodic Updates Modified 20400000 20400000 0
Uses and Disclosures for Research Purposes Unchanged 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: 1097206223 921158940 121283939  
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