View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0906-0028	ICR Reference No: 201712-0906-001
Status: Historical Active	Previous ICR Reference No: 201610-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: National Practitioner Data Bank (NPDB) Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, and Certain Other Health Care Entities
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/05/2017
	Date Received in OIRA: 12/05/2017
Terms of Clearance: Updates to the attestations must be incorporated into the primary ICs upon revision/extension.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	05/31/2020	05/31/2020
Responses	6,735	0	6,735
Time Burden (Hours)	6,735	0	6,735
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): PL: Pub.L. 100 - 93 5 Name of Law: Medicare and Medicaid Patient and Program Protection Act of 1987
   PL: Pub.L. 100 - 93 1921 Name of Law: Social Security Act
   PL: Pub.L. 100 - 93 221(a) Name of Law: Health Insurance Portability and Accountability Act of 1996
   PL: Pub.L. 104 - 191 1128E Name of Law: Social Security Act
   PL: Pub.L. 99 - 660 Title IV Name of Law: Health Care Quality Improvement Act of 1986, as amended

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	6,735	6,735
Annual Time Burden (Hours)	6,735	6,735
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a new ICR, an increase from zero (0).

Annual Cost to Federal Government: $3,300,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Elyana Bowman 301 443-3983 enadjem@hrsa.gov

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