Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Major Breaches Modified 1 4640 31632 Form and Instruction Not Applicable
Notice for Health Applications (Non-Labor Costs for Breaches that include Forensic Services) Modified 49 7350 55582622 Form and Instruction Not Applicable
Notice for Health Applications (Non-Labor Costs for Breaches without Forensic Services) Modified 33 4950 36401748 Form and Instruction Not Applicable
Single-person Breaches Modified 2500 14 0 Form and Instruction Not Applicable
Total burden requested under this ICR: 2583 16954 92016002  
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