View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0945-0005	ICR Reference No: 201305-0945-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/OCR	Agency Tracking No: 19129
Title: HIPAA Audit Review Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/02/2013
	Date Received in OIRA: 05/31/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2016	36 Months From Approved
Responses	115	0	0
Time Burden (Hours)	52	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	115	115
Annual Time Burden (Hours)	52	52
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: new collection

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