№ lp_1_2_00049
This supporting statement accompanies a federal information collection request describing the legal basis, purpose, and use of Indian Health Service forms required to implement and maintain compliance with the HIPAA Privacy Rule.
Agency: Indian Health Service
Parent Department: Department of Health and Human Services
Regulatory Framework: HIPAA Privacy Rule (45 C.F.R. Parts 160 and 164)
OMB Control Number: 0917-0030
Document Type: Supporting statement for information collection request
Purpose: Extension of previously approved information collection
Covered Entity Status: Indian Health Service as a HIPAA covered entity
Forms Covered: IHS-810, IHS-912-1, IHS-912-2, IHS-913, IHS-917
Legal Basis: Health Insurance Portability and Accountability Act of 1996
Federal Register Notices: 81 Fed. Reg. 3806 (January 22, 2016); 81 Fed. Reg. 15347 (March 22, 2016)
Public Comment Outcome: No comments received
Submission Recipient: Office of Management and Budget
Price: 8 / 10 USD
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