Information Collection

Administrative Requirements – Training (disclosing PHI under 164.510; uses and disclosures to prevent harm, 164.512(j))

IC 244641 under ICR 202011-0945-001 · OMB 0945-0003.

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Information Collection (IC) Details

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IC Title:	Administrative Requirements â Training (disclosing PHI under 164.510; uses and disclosures to prevent harm, 164.512(j))	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 164.510 45 CFR 164.512(j) 45 CFR 164.530

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 768,169	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	768,169	768,169
Annual IC Time Burden (Hours)	512,113	512,113
Annual IC Cost Burden (Dollars)	0	0

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