View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0906-0028	ICR Reference No: 202004-0906-001
Status: Historical Active	Previous ICR Reference No: 201712-0906-001
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: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/13/2020
	Date Received in OIRA: 04/10/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2023	36 Months From Approved	05/31/2020
Responses	11,600	0	6,735
Time Burden (Hours)	11,600	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 - 93 221(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
   PL: Pub.L. 100 - 93 1921 Name of Law: Social Security Act

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	11,600	6,735	4,865
Annual Time Burden (Hours)	11,600	6,735	4,865
Annual Cost Burden (Dollars)	0	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: A burden increase is due to a significant increase in respondents and an 2 forms have been added.

Annual Cost to Federal Government: $3,445,000

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? No

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

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