View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OPHDST] Health Data Utilities (HDU)/Health Information Exchange (HIE) Listening Session	Agency IC Tracking Number:	0920-25-0175

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1050	HDU/HIE Invitation Email and Listening Session Guide	HDU HIE Invitation Email.docx	N/A	No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	50	0	50	0	0	0
Annual IC Time Burden (Hours)	38	0	38	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 SSA - Summary	HDU HIE SSA New Requirements.docx	09/24/2025
0920-1050 GenIC Request Memo 24SEP2025	HDU HIE SSA GenIC Template.docx	09/24/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.