Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0948	ICR Reference No: 201609-0938-001
Status: Historical Active	Previous ICR Reference No: 200703-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: HIPAA Administrative Simplification Non-Privacy Enforcement
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/17/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2016
Terms of Clearance: This collection has been in violation since its expiration in June 2010, a fact which shall be noted in the next Information Collection Budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2020	36 Months From Approved	06/30/2010
Responses	500	0	500
Time Burden (Hours)	500	0	500
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	500	500
Annual Time Burden (Hours)	500	500
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a reinstatement with change of a previously approved information collection request; however, the burden estimate remains that same at 1 hour per respondent for a total of 500 hours per year across all respondents.