Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
164.504 Revising Business Associate Agreements Unchanged 350000 350000 0
164.509 Disclosures for which attestation is required Modified 2794201 232850 0
164.509 Uses and Disclosures for which an Attestation is Required―Creating New Form Removed 0 0 0
164.520 Notice of Privacy Practices for Protected Health Information― Post updated notice online Modified 774331 193583 0
164.520 Notice of Privacy Practices for Protected Health Information―Updating Modified 774331 645276 0
164.530 Administrative Requirements-Policies & Procedures (new and updated) Unchanged 774331 1935828 0
164.530 Administrative Requirements―Training― 164.525 Update training content Unchanged 774331 1161497 0
500 or More Affected Individuals (investigating and documenting breach) Modified 626 31300 0
Access of Individuals to Protected Health Information (copies of PHI) Modified 615000 30750 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
Attestations requiring additional action New 325 975 0
Attestations requiring investigation review New 1300 1300 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 Unchanged 1774331 7097324 0
Contingency Plan- Testing and Revision Unchanged 1774331 14194648 0
Documentation - Review and Update Unchanged 1774331 10645986 0
Individual Notice- Substitute Notice (posting or publishing) Modified 2950 2950 1416000
Individual Notice- Written and E-mail Notice (drafting) Modified 64592 32296 0
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information) Modified 41760 5220 0
Individual Notice-Substitute Notice (staffing toll-free number) Modified 2950 3481 191616
Individual Notice-Written and E-mail Notice (preparing and documenting notification) Modified 64592 32296 0
Individual Notice-Written and E-mail Notice(processing and sending) Modified 42004718 336038 17049295
Information System Activity Review- Documentation Unchanged 21291972 15968979 0
Less than 500 Affected Individuals (investigating and documenting breach) Modified 2324 18592 0
Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals Modified 61642 246568 0
Maintenance Records Unchanged 21291972 127751832 0
Media Notice Modified 626 783 0
Notice of Privacy Practice for Protected Health Information (Health plans- periodic distribution of NPPs by electronic mail) Unchanged 150000000 417500 0
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination/acknowledgement Unchanged 613000000 30650000 107642800
Notice of Privacy Practices for Protected Health Information/health plan distribution paper mail Modified 150000000 625000 37199700
Notice of Privacy Practices for Protected Health Information―Mailing notice to 10% of subscribers at a rate of 240 notices/hour New 15000000 62500 0
Notice to Secretary (notice for breaches affecting 500 or more individuals) Modified 626 783 0
Notice to Secretary (notice for breaches affecting fewer than 500 individuals) Modified 63966 63966 0
Process for Requesting Exception Determinations (states or persons) Unchanged 27 432 0
Rights to request privacy protection for protected health information Unchanged 40000 2000 0
Risk Analysis-Documentation Unchanged 1774331 17743310 0
Security Incidents (other than breaches)- Documentation Unchanged 92265212 461326060 0
Security Incidents- Business Associate reporting of incidents (other than breach) to Covered Entities Unchanged 12000000 240000000 0
Security Reminders- Periodic Updates Unchanged 21291972 21291972 0
Uses and Disclosures for Research Purposes Modified 147221 12268 0
Uses and Disclosures for which Individual authorization is required Modified 774331 774331 0
Uses and Disclosures-Organizational Requirement Unchanged 774331 64528 0
Total burden requested under this ICR: 1154350069 953982239 163499411  
To view an IC, click on IC Title