Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule, 2412-2413 [2013-00363]

Download as PDF 2412 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices SURVEY PRETEST—Continued Number of respondents Form name Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours Patient Recruitment (At clinic) ............................................. Patient Survey (Administered at clinic) ................................ Patient Recruitment (Through local advertisements/flyers/ word-of-mouth) ................................................................. Patient Survey (Administered following local advertising) ... 21 16 1 1 21 16 .17 1.25 3.57 20.00 71 55 1 1 71 55 .08 1.25 5.68 68.75 Total Pretest ................................................................. ........................ ........................ ........................ ........................ 116.00 Total responses Average burden per response (in hours) NATIONAL STUDY Number of respondents Form name Number of responses per respondent Total burden hours Grantee/Site Recruitment and Training ............................... Patient Recruitment ............................................................. Patient Survey ...................................................................... 165 9,207 6,600 3 1 1 495 9,207 6,600 3.75 .17 1.25 1,856.25 1,565.19 8,250.00 Total National Study ..................................................... ........................ ........................ ........................ ........................ 11,671.44 Addresses: Submit your comments to paperwork@hrsa.gov or mail the HRSA Reports Clearance Officer, Room 10–29, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Deadline: Comments on this Information Collection Request must be received within 60 days of this notice. Dated: January 3, 2013. Bahar Niakan, Director, Division of Policy and Information Coordination. [FR Doc. 2013–00364 Filed 1–10–13; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule Indian Health Service, HHS. Notice. AGENCY: ACTION: In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995 which requires 30 days for public comment on proposed information collection projects, the Indian Health Service (IHS) is publishing for comment a summary of a proposed information collection to be submitted to the Office of Management and Budget (0MB) for review. This proposed information collection project was previously published in the Federal Register (77 FR 60219) on October 2, mstockstill on DSK4VPTVN1PROD with SUMMARY: VerDate Mar<15>2010 16:38 Jan 10, 2013 Jkt 229001 2012, and allowed 60 days for public comment, as required by 3506(c)(2)(A). No public comment was received in response to the notice. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. Proposed Collection: Title: 0917– 0030, ‘‘IHS Forms to Implement the Privacy Rule (45 CFR parts 160 & 164).’’ Type of Information Collection Request: Extension, without revisions, of currently approved information collection, 0917–0030, ‘‘IHS Forms to Implement the Privacy Rule (45 CFR parts 160 & 164).’’ Form Number(s): IHS–810, IHS–912–1, IHS–912–2, IHS– 913 and IHS–917. Need and Use of Information Collection: This collection of information is made necessary by the Department of Health and Human Services Rule entitled ‘‘Standards for Privacy of Individually Identifiable Health Information’’ (Privacy Rule) (45 CFR parts 160 and 164). The Privacy Rule implements the privacy requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996, creates national standards to protect individuals’ personal health information, and gives patients increased access to their medical records. 45 CFR 164.508, 164.522, 164.526 and 164.528 of the Rule require the collection of information to implement these protection standards and access requirements. The IHS will continue to use the following data collection instruments to meet the PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 information collection requirements contained in the Rule. 45 CFR 164.508: This provision requires covered entities to obtain or receive a valid authorization for its use or disclosure of protected health information for other than for treatment, payment and healthcare operations. Under the provision individuals may initiate a written authorization permitting covered entities to release their protected health information to entities of their choosing. The form IHS–810, ‘‘Authorization for Use or Disclosure of Protected Health Information,’’ is used to document an individual’s authorization to use or disclose their protected health information. 45 CFR 164.522: Section 164.522(a)(1) requires a covered entity to permit individuals to request that the covered entity restrict the use and disclosure of their protected health information. The covered entity may or may not agree to the restriction. The form IHS–912–1, ‘‘Request for Restrictions(s),’’ is used to document an individual’s request for restriction of their protected health information, and whether IHS agreed or disagreed with the restriction. Section 164.522(a)(2) permits a covered entity to terminate its agreement to a restriction if the individual agrees to or requests the termination in writing. The form IHS–912–2, ‘‘Request for Revocation of Restriction(s),’’ is used to document the agency or individual request to terminate a formerly agreed to restriction regarding the use and E:\FR\FM\11JAN1.SGM 11JAN1 2413 Federal Register / Vol. 78, No. 8 / Friday, January 11, 2013 / Notices disclosure of protected health information. 45 CFR 164.528 and 45 CFR 5b.9(c): This provision requires covered entities to permit individuals to request that the covered entity provide an accounting of disclosures of protected health information made by the covered entity. The form IHS–913, ‘‘Request for an Accounting of Disclosures,’’ is used to document an individual’s request for an accounting of disclosures of their protected health information and the agency’s handling of the request. 45 CFR 164.526: This provision requires covered entities to permit an individual to request that the covered entity amend protected health information. If the covered entity accepts the requested amendment, in whole or in part, the covered entity must inform the individual that the amendment is accepted. If the covered entity denies the requested amendment, in whole or in part, the covered entity must provide the individual with a written denial. The form IHS–917, ‘‘Request for Correction/Amendment of Number of respondents Data collection instrument Authorization for Use or Disclosure of Protected Health Information (OMB Form No. 0917–0030, IHS–810) .................................................................. Request for Restriction(s) (OMB Form No. 0917–0030, IHS–912–1) ............ Request for Revocation of Restriction(s) (OMB Form No. 0917–0030, IHS– 912–2) .......................................................................................................... Request for Accounting of Disclosures (OMB Form No. 0917–0030, IHS– 913) .............................................................................................................. Request for Correction/Amendment of Protected Health Information (OMB Form No. 0917–0030, IHS–917) .................................................................. Total Annual Burden ................................................................................. Protected Health Information,’’ will be used to document an individual’s request to amend their protected health information and the agency’s decision to accept or deny the request. Completed forms used in this collection of information are filed in the IHS medical, health and billing record, a Privacy Act System of Records Notice. Affected Public: Individuals and households. Type of Respondents: Individuals. Burden Hours: The table below provides the estimated burden hours for this information collection: Average burden hour per response * Responses per respondent Total annual burden hours 500,000 15,000 1 1 20/60 10/60 166,667 2,500 5,000 1 10/60 833 15,000 1 10/60 2,500 7,500 1 15/60 1,875 ........................ 5 ........................ 174,375 mstockstill on DSK4VPTVN1PROD with * For ease of understanding, burden hours are provided in actual minutes. The total estimated burden for this collection of information is 174,375 hours. There are no capital costs, operating costs and/or maintenance costs to respondents. Request for Comments: Your written comments and/or suggestions are invited on one or more of the following points: (a) Whether the information collection activity is necessary to carry out an agency function; (b) whether the agency processes the information collected in a useful and timely fashion; (c) the accuracy of public burden estimate (the estimated amount of time needed for individual respondents to provide the requested information); (d) whether the methodology and assumptions used to determine the estimate are logical; (e) ways to enhance the quality, utility, and clarity of the information being collected; and (f) ways to minimize the public burden through the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology. Direct your comments to OMB: Send your comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response time to: Office of Management and Budget, Office of Regulatory Affairs, New Executive Office Building, Room VerDate Mar<15>2010 16:38 Jan 10, 2013 Jkt 229001 10235, Washington, DC 20503, Attention: Desk Officer for IHS. To request more information on the proposed collection, or to obtain a copy of the data collection instruments and/ or instruction(s) contact: Tamara Clay, Reports Clearance Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD 20852, call non-toll free (301) 443–4750, send via facsimile to (301) 443–2316, or send your email requests, comments, and return address to: Tamara.Clay@ihs.gov. Comment Due Date: February 11, 2013. Your comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. SUMMARY: Dated: December 27, 2012. Yvette Roubideaux, Director, Indian Health Service. ADDRESSES: [FR Doc. 2013–00363 Filed 1–10–13; 8:45 am] BILLING CODE 4165–16–P The purpose of this Notice is to announce an Indian Health Service (IHS) Listening Session on the draft Policy on Conferring with Urban Indian Organizations (UIOs). IHS will provide an opportunity for interested parties to provide oral comments on the draft Policy on Conferring with UIOs that was published in the Federal Register on July 26, 2012. Name of Listening Session: IHS Urban Listening Session. Type of Meeting: Open Listening Session. January 22, 2013. Time: 1 p.m. to 3 p.m. Eastern Time— Approximate end time. DATES: The Listening Session will be held at: Indian Health Service Headquarters, 801 Thompson Avenue, Rhoades Conference Center, Reyes Building 4th floor, Rockville, MD 20852. The link to the Federal Register is: https:// www.federalregister.gov/articles/2012/ 07/26/2012-18300/draft-policy-onconferring-with-urban-indianorganizations. Information about the Urban Indian health program and a registration link for this Listening Session are available on the IHS Web site: www.ihs.gov. Cost: There is no cost to attend the Listening Session. SUPPLEMENTARY INFORMATION: DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Urban Indian Health Programs; Announcement Type: Meeting Notice Indian Health Service, HHS. Meeting Notice. AGENCY: ACTION: PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 E:\FR\FM\11JAN1.SGM 11JAN1

Agencies

[Federal Register Volume 78, Number 8 (Friday, January 11, 2013)]
[Notices]
[Pages 2412-2413]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-00363]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 30-Day Proposed Information 
Collection: Indian Health Service Forms To Implement the Privacy Rule

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995 which requires 30 days for public comment on 
proposed information collection projects, the Indian Health Service 
(IHS) is publishing for comment a summary of a proposed information 
collection to be submitted to the Office of Management and Budget (0MB) 
for review. This proposed information collection project was previously 
published in the Federal Register (77 FR 60219) on October 2, 2012, and 
allowed 60 days for public comment, as required by 3506(c)(2)(A). No 
public comment was received in response to the notice. The purpose of 
this notice is to allow 30 days for public comment to be submitted 
directly to OMB.
    Proposed Collection: Title: 0917-0030, ``IHS Forms to Implement the 
Privacy Rule (45 CFR parts 160 & 164).'' Type of Information Collection 
Request: Extension, without revisions, of currently approved 
information collection, 0917-0030, ``IHS Forms to Implement the Privacy 
Rule (45 CFR parts 160 & 164).'' Form Number(s): IHS-810, IHS-912-1, 
IHS-912-2, IHS-913 and IHS-917. Need and Use of Information Collection: 
This collection of information is made necessary by the Department of 
Health and Human Services Rule entitled ``Standards for Privacy of 
Individually Identifiable Health Information'' (Privacy Rule) (45 CFR 
parts 160 and 164). The Privacy Rule implements the privacy 
requirements of the Administrative Simplification subtitle of the 
Health Insurance Portability and Accountability Act of 1996, creates 
national standards to protect individuals' personal health information, 
and gives patients increased access to their medical records. 45 CFR 
164.508, 164.522, 164.526 and 164.528 of the Rule require the 
collection of information to implement these protection standards and 
access requirements. The IHS will continue to use the following data 
collection instruments to meet the information collection requirements 
contained in the Rule.
    45 CFR 164.508: This provision requires covered entities to obtain 
or receive a valid authorization for its use or disclosure of protected 
health information for other than for treatment, payment and healthcare 
operations. Under the provision individuals may initiate a written 
authorization permitting covered entities to release their protected 
health information to entities of their choosing. The form IHS-810, 
``Authorization for Use or Disclosure of Protected Health 
Information,'' is used to document an individual's authorization to use 
or disclose their protected health information.
    45 CFR 164.522: Section 164.522(a)(1) requires a covered entity to 
permit individuals to request that the covered entity restrict the use 
and disclosure of their protected health information. The covered 
entity may or may not agree to the restriction. The form IHS-912-1, 
``Request for Restrictions(s),'' is used to document an individual's 
request for restriction of their protected health information, and 
whether IHS agreed or disagreed with the restriction. Section 
164.522(a)(2) permits a covered entity to terminate its agreement to a 
restriction if the individual agrees to or requests the termination in 
writing. The form IHS-912-2, ``Request for Revocation of 
Restriction(s),'' is used to document the agency or individual request 
to terminate a formerly agreed to restriction regarding the use and

[[Page 2413]]

disclosure of protected health information.
    45 CFR 164.528 and 45 CFR 5b.9(c): This provision requires covered 
entities to permit individuals to request that the covered entity 
provide an accounting of disclosures of protected health information 
made by the covered entity. The form IHS-913, ``Request for an 
Accounting of Disclosures,'' is used to document an individual's 
request for an accounting of disclosures of their protected health 
information and the agency's handling of the request.
    45 CFR 164.526: This provision requires covered entities to permit 
an individual to request that the covered entity amend protected health 
information. If the covered entity accepts the requested amendment, in 
whole or in part, the covered entity must inform the individual that 
the amendment is accepted. If the covered entity denies the requested 
amendment, in whole or in part, the covered entity must provide the 
individual with a written denial. The form IHS-917, ``Request for 
Correction/Amendment of Protected Health Information,'' will be used to 
document an individual's request to amend their protected health 
information and the agency's decision to accept or deny the request.
    Completed forms used in this collection of information are filed in 
the IHS medical, health and billing record, a Privacy Act System of 
Records Notice. Affected Public: Individuals and households. Type of 
Respondents: Individuals. Burden Hours: The table below provides the 
estimated burden hours for this information collection:

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden
           Data collection instrument                Number of     Responses per     hour per      Total annual
                                                    respondents     respondent      response *     burden hours
----------------------------------------------------------------------------------------------------------------
Authorization for Use or Disclosure of Protected         500,000               1           20/60         166,667
 Health Information (OMB Form No. 0917-0030, IHS-
 810)...........................................
Request for Restriction(s) (OMB Form No. 0917-            15,000               1           10/60           2,500
 0030, IHS-912-1)...............................
Request for Revocation of Restriction(s) (OMB              5,000               1           10/60             833
 Form No. 0917-0030, IHS-912-2).................
Request for Accounting of Disclosures (OMB Form           15,000               1           10/60           2,500
 No. 0917-0030, IHS-913)........................
Request for Correction/Amendment of Protected              7,500               1           15/60           1,875
 Health Information (OMB Form No. 0917-0030, IHS-
 917)...........................................
                                                 ---------------------------------------------------------------
    Total Annual Burden.........................  ..............               5  ..............         174,375
----------------------------------------------------------------------------------------------------------------
* For ease of understanding, burden hours are provided in actual minutes.

    The total estimated burden for this collection of information is 
174,375 hours. There are no capital costs, operating costs and/or 
maintenance costs to respondents.
    Request for Comments: Your written comments and/or suggestions are 
invited on one or more of the following points: (a) Whether the 
information collection activity is necessary to carry out an agency 
function; (b) whether the agency processes the information collected in 
a useful and timely fashion; (c) the accuracy of public burden estimate 
(the estimated amount of time needed for individual respondents to 
provide the requested information); (d) whether the methodology and 
assumptions used to determine the estimate are logical; (e) ways to 
enhance the quality, utility, and clarity of the information being 
collected; and (f) ways to minimize the public burden through the use 
of automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology.
    Direct your comments to OMB: Send your comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response time to: Office of Management and Budget, Office of Regulatory 
Affairs, New Executive Office Building, Room 10235, Washington, DC 
20503, Attention: Desk Officer for IHS.
    To request more information on the proposed collection, or to 
obtain a copy of the data collection instruments and/or instruction(s) 
contact: Tamara Clay, Reports Clearance Officer, 801 Thompson Avenue, 
TMP, Suite 450, Rockville, MD 20852, call non-toll free (301) 443-4750, 
send via facsimile to (301) 443-2316, or send your email requests, 
comments, and return address to: Tamara.Clay@ihs.gov.
    Comment Due Date: February 11, 2013. Your comments regarding this 
information collection are best assured of having full effect if 
received within 30 days of the date of this publication.

    Dated: December 27, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2013-00363 Filed 1-10-13; 8:45 am]
BILLING CODE 4165-16-P
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