Request for Public Comment: 60-Day Information Collection: Indian Health Service Forms To Implement the Privacy Rule, 42726-42728 [2023-14017]
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42726
Federal Register / Vol. 88, No. 126 / Monday, July 3, 2023 / Notices
lotter on DSK11XQN23PROD with NOTICES1
areas, population groups, and facilities
that were designated HPSAs as of April
28, 2023. This notice incorporates the
most recent annual reviews of
designated HPSAs (including those that
have been proposed for withdrawal but
have not yet been withdrawn) which
can be located on HRSA’s data.hrsa.gov
website and supersedes the HPSA lists
published in the Federal Register on
July 7, 2022, (87 FR 40540–40451).
In addition, all Indian Tribes that
meet the definition of such Tribes in the
Indian Health Care Improvement Act of
1976, 25 U.S.C. 1603, are automatically
designated as population groups with
primary medical care and dental health
professional shortages. Further, the
Health Care Safety Net Amendments of
2002 provides eligibility for automatic
facility HPSA designations for all
federally qualified health centers
(FQHCs) and rural health clinics that
offer services regardless of ability to
pay. Specifically, these entities include
FQHCs funded under section 330 of the
PHS Act, FQHC Look-Alikes, and Tribal
and urban Indian clinics operating
under the Indian Self-Determination
and Education Act of 1975 (25 U.S.C.
450) or the Indian Health Care
Improvement Act. Many, but not all, of
these entities are included on this
listing. Since they are automatically
designated by statute, absence from this
list does not exclude them from HPSA
designation; facilities eligible for
automatic designation are included in
the database when they are identified.
Each list of designated HPSAs is
arranged by state. Within each state, the
list is presented by county. If only a
portion (or portions) of a county is (are)
designated, a county is part of a larger
designated service area, or a population
group residing in a county or a facility
located in the county has been
designated, the name of the service area,
population group, or facility involved is
listed under the county name. A county
that has a whole county geographic or
population group HPSA is indicated by
the phrase ‘‘County’’ following the
county name.
Development of the Designation and
Withdrawal Lists
Requests for designation or
withdrawal of a particular geographic
area, population group, or facility as a
HPSA are received continuously by
BHW. Under a Cooperative Agreement
between HRSA and the 54 state and
territorial Primary Care Offices (PCOs),
PCOs conduct needs assessments and
submit applications to HRSA to
designate HPSAs. BHW also receives
other requests for designation from
other sources and refers them to PCOs
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17:10 Jun 30, 2023
Jkt 259001
for review. As part of the HPSA
designation process, interested parties,
including Governors, state Primary Care
Associations, and state professional
associations, are notified of requests so
that they may submit their comments
and recommendations.
BHW reviews each recommendation
for possible addition, continuation,
revision, or withdrawal. Following
review, BHW notifies the appropriate
agency, individuals, and interested
organizations of each designation of a
HPSA, rejection of recommendation for
HPSA designation, revision of a HPSA
designation, and/or advance notice of
pending withdrawals from the HPSA
list. Designations (or revisions of
designations) are effective as of the date
on the notification from BHW and are
updated daily on the HRSA Data
Warehouse website. While this list is a
snapshot of HPSAs at a point in time,
HPSA designations are regularly being
updated so the best source of current
designation status is the HRSA Data
Warehouse website at (https://
data.hrsa.gov/tools/shortage-area).
State and territorial PCOs will have
additional time to update their HPSA
designations. HPSA designations that
are currently proposed for withdrawal
will remain in this status until they are
re-evaluated in mid-November in
preparation for the publication of the
January 2, 2024, HPSA Federal Register
notice. If these HPSAs do not meet the
requirements for designation as of
November 15, 2023, they will be
withdrawn with the publication of a
second Federal Register notice planned
for January 2, 2024.
Carole Johnson,
Administrator.
[FR Doc. 2023–14092 Filed 6–30–23; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day
Information Collection: Indian Health
Service Forms To Implement the
Privacy Rule
Indian Health Service,
Department of Health and Human
Services.
ACTION: Notice and request for
comments. Request for extension of
approval.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the
general public to comment on the
SUMMARY:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
information collection titled, ‘‘IHS
Forms to Implement the Privacy Rule’’
Office of Management and Budget
(OMB) Control Number 0917–0030. This
previously approved information
collection project was last published in
the Federal Register (84 FR 42935) on
August 19, 2019, and allowed 30 days
for public comment. No public
comment was received in response to
the notice. This notice announces the
IHS’s intent to submit the collection,
which expires August 31, 2023, to OMB
for approval of an extension with
modifications, and to solicit comments
on specific aspects of the information
collection.
DATES: September 1, 2023. Your
comments regarding this information
collection are best assured of having full
effect if received within 60 days of the
date of this publication.
ADDRESSES: Send your written
comments, requests for more
information on the collection, or
requests to obtain a copy of the data
collection instrument and instructions
to Heather McClane, Privacy Officer, by
email at: Heather.McClane@ihs.gov or
telephone at (240) 479–8521.
FOR FURTHER INFORMATION CONTACT: To
request additional information, please
contact Evonne Bennett, Information
Collection Clearance Officer by email at:
Evonne.Bennett@ihs.gov or telephone at
(240) 472–1996.
SUPPLEMENTARY INFORMATION: The
purpose of this notice is to allow 60
days for public comment to be
submitted to the IHS. A copy of the
supporting statement is available at
www.regulations.gov (see Docket ID
IHS_FRDOC_0001).
Title of Collection: 0917–0030, IHS
Forms to Implement the Privacy Rule
(45 CFR parts 160 and 164). Type of
Information Collection Request:
Extension of the currently approved
information collection, with
modifications 0917–0030, IHS Forms to
Implement the Privacy Rule (45 CFR
parts 160 and 164). Form(s): IHS–810,
IHS–912–1, IHS–912–2, IHS–913, IHS–
917, IHS–XXX, and IHS–963. 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 (HIPAA) of 1996,
creates national standards to protect an
individual’s personal health
E:\FR\FM\03JYN1.SGM
03JYN1
42727
Federal Register / Vol. 88, No. 126 / Monday, July 3, 2023 / Notices
information, and gives patients
increased access to their medical
records. 45 CFR 164.508, 164.520,
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 use the
following data collection instruments to
meet the information collection
requirements contained in the Rule.
(a) 45 CFR 164.508—Authorization for
Use or Disclosure of Protected Health
Information (IHS–810)
45 CFR 164.508 requires covered
entities to obtain or receive a valid
authorization for its use or disclosure of
protected health information for
purposes that are not otherwise
authorized or required by HIPAA (e.g.,
treatment, payment and healthcare
operations). Under this 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 by patients at IHS
facilities to document and authorize the
use, disclosure or release of their
protected health information from their
medical record to anyone they specify.
(b) 45 CFR 164.520—Acknowledgement
of Receipt of the IHS Notice of Privacy
Practices (IHS–XXX)
This provision requires covered
entities to provide a Notice of Privacy
Practices to patients and to document
compliance with the notice
requirements by retaining copies of
written acknowledgments of the receipt
of the notice or documentation of good
faith efforts to obtain written
acknowledgment. The IHS developed
the form (IHS–XXX)
‘‘Acknowledgement of Receipt of IHS
Notice of Privacy Practices’’ to obtain
the written acknowledgment of the
receipt of the IHS Notice of Privacy
Practices.
(c) 45 CFR 164.522(a)(1)—Request For
Restriction(s) (IHS–912–1)
Under the Privacy Rule, an individual
can request to restrict the use of their
information with some exceptions.
Section 164.522(a)(1) requires a covered
entity to permit individuals to request
that the covered entity restrict certain
uses and disclosures of their protected
health information. The covered entity
may or may not agree to the restriction,
and it is only required to agree in
certain limited situations. 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 the IHS
agreed or disagreed with the requested
restriction.
(d) 45 CFR 164.522(b)(1)—Request for
Confidential Communication by
Alternative Means or Alternate
Location (IHS–963)
This provision requires covered
entities to permit individuals to request
and must accommodate reasonable
requests by individuals to receive
communications of protected health
information from the covered health
care provider by alternative means or at
alterative locations. The form IHS–963
‘‘Request for Confidential
Communication By Alternative Means
or Alternate Location’’ is used to permit
individuals to request communications
by alternative means or locations.
(e) 45 CFR 164.522(a)(2)—Request For
Revocation of Restriction(s) (IHS–912–
2)
Section 164.522(a)(2) permits a
covered entity to terminate its
agreement to a restriction when 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
disclosure of protected health
information. A previous request to
restrict information may be revoked by
the individual or IHS, subject to the
limitations set forth in § 164.522(a)(2).
(f) 45 CFR 164.528 and HHS Privacy
Act Regulations, 45 CFR 5b.9(c)—
Request for an Accounting of
Disclosures (IHS–913)
These provisions require the IHS, as
a covered entity and an agency within
HHS, to permit individuals to request
that the IHS provide an accounting of
disclosures of the individual’s protected
health information and/or record. The
form IHS–913 ‘‘Request for an
Accounting of Disclosures’’ is used for
the collection of information for the
purpose of processing an accounting of
disclosures requested by the patient
and/or personal representative, and to
document that request.
(g) 45 CFR 164.526—Request for
Correction/Amendment of Protected
Health Information (IHS–917)
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 request for an
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 Correction/Amendment of
Protected Health Information’’ is used
for individuals to submit their request
and to document the IHS’s acceptance
or denial of a patient’s request to correct
or amend their protected health
information.
Completed forms used in this
collection of information are filed in the
IHS ‘‘Medical, Health and Billing
Records,’’ a Privacy Act System of
Records. Affected Public: Individuals
and households. Type of Respondents:
Individuals. Burden Hours: The table
below provides the following details for
this information collection: types of data
collection instruments, estimated
number of respondents, number of
responses per respondent, average
burden hour per response.
TABLE—ESTIMATED ANNUAL BURDEN HOURS
Estimated
number of
respondents
lotter on DSK11XQN23PROD with NOTICES1
Data collection instruments
‘‘Authorization for Use or Disclosure of Protected Health Information’’ (OMB
No. 0917–0030, IHS–810) ...........................................................................
‘‘Request for Restriction(s)’’ .............................................................................
(OMB No. 0917–0030, IHS–912–1) ................................................................
‘‘Request for Revocation of Restriction(s)’’ (OMB No. 0917–0030, IHS–912–
2) ..................................................................................................................
‘‘Request for Accounting of Disclosures’’ (OMB No. 0917–0030, IHS–913) ..
VerDate Sep<11>2014
17:10 Jun 30, 2023
Jkt 259001
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
Responses
per
respondent
Average
burden hour
per response *
Total annual
burden
hours
210,954
1
10/60
35,159
214
1
10/60
36
3
39
1
1
10/60
10/60
.5
6.5
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42728
Federal Register / Vol. 88, No. 126 / Monday, July 3, 2023 / Notices
TABLE—ESTIMATED ANNUAL BURDEN HOURS—Continued
Estimated
number of
respondents
Data collection instruments
‘‘Request for Correction/Amendment of Protected Health Information’’ (OMB
No. 0917–0030, IHS–917) ...........................................................................
Acknowledgement of Receipt of the Notice of Privacy Practices Protected
Health Information (IHS–XXX) .....................................................................
‘‘Request for Confidential Communication by Alternative Means or Alternate
Location’’ No. 0917–0030 (IHS–963) ...........................................................
Total Annual Burden .................................................................................
Responses
per
respondent
Average
burden hour
per response *
Total annual
burden
hours
54
1
10/60
9
39
1
10/60
6.5
214
1
10/60
36
211,303
........................
........................
35,253.5
* For ease of understanding, burden hours are provided in actual minutes.
The total estimated burden for this
collection of information is 35,253.5
hours.
There are no capital costs, operating
costs and/or maintenance costs to
respondents to report.
Requests 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 the 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
estimates 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.
P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023–14017 Filed 6–30–23; 8:45 am]
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
lotter on DSK11XQN23PROD with NOTICES1
National Institute of General Medical
Sciences; Notice of Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of a
meeting of the National Advisory
General Medical Sciences Council.
The meeting will be held as a virtual
meeting and open to the public. as
indicated below. Individuals who plan
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17:10 Jun 30, 2023
Jkt 259001
to view the virtual meeting and need
special assistance, such as sign language
interpretation or other reasonable
accommodations, should submit a
request using the following link: https://
www.nigms.nih.gov/Pages/ContactUs.
aspx at least 5 days prior to the event.
The open session will also be videocast,
closed captioned, and can be accessed
from the NIH Videocasting and
Podcasting website (https://
videocast.nih.gov).
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Advisory
General Medical Sciences Council.
Date: September 7, 2023.
Open: 9:30 a.m. to 12:30 p.m.
Agenda: For the discussion of program
policies and issues; opening remarks; report
of the Director, NIGMS; and other business
of the Council.
Place: National Institutes of Health,
Natcher Building, 45 Center Drive, Bethesda,
MD 20892 (Virtual Meeting).
Closed: 1:30 p.m. to 4:30 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Natcher Building, 45 Center Drive, Bethesda,
MD 20892 (Virtual Meeting).
Contact Person: Erica L. Brown, Ph.D.,
Director, Division of Extramural Activities,
National Institute of General Medical
Sciences, National Institutes of Health,
Natcher Building, Room 2AN24C, Bethesda,
MD 20892, 301–594–4499, erica.brown@
nih.gov.
Members of the public are welcome to
provide written comments by emailing
NIGMS_DEA_Mailbox@nigms.nih.gov at least
3 days in advance of the meeting. The
statement should include the name, address,
telephone number and when applicable, the
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
business or professional affiliation of the
interested person.
Information is also available on the
Institute’s/Center’s home page: https://
www.nigms.nih.gov/About/Council, where an
agenda and any additional information for
the meeting will be posted when available.
(Catalogue of Federal Domestic Assistance
Program No. 93.859, Biomedical Research
and Research Training, National Institutes of
Health, HHS)
Dated: June 27, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2023–13994 Filed 6–30–23; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Notice of
Closed Meetings
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; Topics in
Cancer Immunology.
Date: July 19, 2023.
Time: 10:00 a.m. to 8:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Rockledge II, 6701 Rockledge Drive,
Bethesda, MD 20892 (Hybrid Meeting).
E:\FR\FM\03JYN1.SGM
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Agencies
[Federal Register Volume 88, Number 126 (Monday, July 3, 2023)]
[Notices]
[Pages 42726-42728]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-14017]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day Information Collection: Indian
Health Service Forms To Implement the Privacy Rule
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Notice and request for comments. Request for extension of
approval.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the general public to comment on
the information collection titled, ``IHS Forms to Implement the Privacy
Rule'' Office of Management and Budget (OMB) Control Number 0917-0030.
This previously approved information collection project was last
published in the Federal Register (84 FR 42935) on August 19, 2019, and
allowed 30 days for public comment. No public comment was received in
response to the notice. This notice announces the IHS's intent to
submit the collection, which expires August 31, 2023, to OMB for
approval of an extension with modifications, and to solicit comments on
specific aspects of the information collection.
DATES: September 1, 2023. Your comments regarding this information
collection are best assured of having full effect if received within 60
days of the date of this publication.
ADDRESSES: Send your written comments, requests for more information on
the collection, or requests to obtain a copy of the data collection
instrument and instructions to Heather McClane, Privacy Officer, by
email at: [email protected] or telephone at (240) 479-8521.
FOR FURTHER INFORMATION CONTACT: To request additional information,
please contact Evonne Bennett, Information Collection Clearance Officer
by email at: [email protected] or telephone at (240) 472-1996.
SUPPLEMENTARY INFORMATION: The purpose of this notice is to allow 60
days for public comment to be submitted to the IHS. A copy of the
supporting statement is available at www.regulations.gov (see Docket ID
IHS_FRDOC_0001).
Title of Collection: 0917-0030, IHS Forms to Implement the Privacy
Rule (45 CFR parts 160 and 164). Type of Information Collection
Request: Extension of the currently approved information collection,
with modifications 0917-0030, IHS Forms to Implement the Privacy Rule
(45 CFR parts 160 and 164). Form(s): IHS-810, IHS-912-1, IHS-912-2,
IHS-913, IHS-917, IHS-XXX, and IHS-963. 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 (HIPAA) of
1996, creates national standards to protect an individual's personal
health
[[Page 42727]]
information, and gives patients increased access to their medical
records. 45 CFR 164.508, 164.520, 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 use the
following data collection instruments to meet the information
collection requirements contained in the Rule.
(a) 45 CFR 164.508--Authorization for Use or Disclosure of Protected
Health Information (IHS-810)
45 CFR 164.508 requires covered entities to obtain or receive a
valid authorization for its use or disclosure of protected health
information for purposes that are not otherwise authorized or required
by HIPAA (e.g., treatment, payment and healthcare operations). Under
this 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 by patients at IHS facilities to document and authorize the
use, disclosure or release of their protected health information from
their medical record to anyone they specify.
(b) 45 CFR 164.520--Acknowledgement of Receipt of the IHS Notice of
Privacy Practices (IHS-XXX)
This provision requires covered entities to provide a Notice of
Privacy Practices to patients and to document compliance with the
notice requirements by retaining copies of written acknowledgments of
the receipt of the notice or documentation of good faith efforts to
obtain written acknowledgment. The IHS developed the form (IHS-XXX)
``Acknowledgement of Receipt of IHS Notice of Privacy Practices'' to
obtain the written acknowledgment of the receipt of the IHS Notice of
Privacy Practices.
(c) 45 CFR 164.522(a)(1)--Request For Restriction(s) (IHS-912-1)
Under the Privacy Rule, an individual can request to restrict the
use of their information with some exceptions. Section 164.522(a)(1)
requires a covered entity to permit individuals to request that the
covered entity restrict certain uses and disclosures of their protected
health information. The covered entity may or may not agree to the
restriction, and it is only required to agree in certain limited
situations. 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 the IHS agreed or disagreed with the
requested restriction.
(d) 45 CFR 164.522(b)(1)--Request for Confidential Communication by
Alternative Means or Alternate Location (IHS-963)
This provision requires covered entities to permit individuals to
request and must accommodate reasonable requests by individuals to
receive communications of protected health information from the covered
health care provider by alternative means or at alterative locations.
The form IHS-963 ``Request for Confidential Communication By
Alternative Means or Alternate Location'' is used to permit individuals
to request communications by alternative means or locations.
(e) 45 CFR 164.522(a)(2)--Request For Revocation of Restriction(s)
(IHS-912-2)
Section 164.522(a)(2) permits a covered entity to terminate its
agreement to a restriction when 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 disclosure of protected health information. A previous request to
restrict information may be revoked by the individual or IHS, subject
to the limitations set forth in Sec. 164.522(a)(2).
(f) 45 CFR 164.528 and HHS Privacy Act Regulations, 45 CFR 5b.9(c)--
Request for an Accounting of Disclosures (IHS-913)
These provisions require the IHS, as a covered entity and an agency
within HHS, to permit individuals to request that the IHS provide an
accounting of disclosures of the individual's protected health
information and/or record. The form IHS-913 ``Request for an Accounting
of Disclosures'' is used for the collection of information for the
purpose of processing an accounting of disclosures requested by the
patient and/or personal representative, and to document that request.
(g) 45 CFR 164.526--Request for Correction/Amendment of Protected
Health Information (IHS-917)
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 request
for an 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 Correction/Amendment of Protected Health Information'' is
used for individuals to submit their request and to document the IHS's
acceptance or denial of a patient's request to correct or amend their
protected health information.
Completed forms used in this collection of information are filed in
the IHS ``Medical, Health and Billing Records,'' a Privacy Act System
of Records. Affected Public: Individuals and households. Type of
Respondents: Individuals. Burden Hours: The table below provides the
following details for this information collection: types of data
collection instruments, estimated number of respondents, number of
responses per respondent, average burden hour per response.
Table--Estimated Annual Burden Hours
----------------------------------------------------------------------------------------------------------------
Estimated Average burden
Data collection instruments number of Responses per hour per Total annual
respondents respondent response * burden hours
----------------------------------------------------------------------------------------------------------------
``Authorization for Use or Disclosure of 210,954 1 10/60 35,159
Protected Health Information'' (OMB No. 0917-
0030, IHS-810).................................
``Request for Restriction(s)''................. 214 1 10/60 36
(OMB No. 0917-0030, IHS-912-1)..................
``Request for Revocation of Restriction(s)'' 3 1 10/60 .5
(OMB No. 0917-0030, IHS-912-2).................
``Request for Accounting of Disclosures'' (OMB 39 1 10/60 6.5
No. 0917-0030, IHS-913)........................
[[Page 42728]]
``Request for Correction/Amendment of Protected 54 1 10/60 9
Health Information'' (OMB No. 0917-0030, IHS-
917)...........................................
Acknowledgement of Receipt of the Notice of 39 1 10/60 6.5
Privacy Practices Protected Health Information
(IHS-XXX)......................................
``Request for Confidential Communication by 214 1 10/60 36
Alternative Means or Alternate Location'' No.
0917-0030 (IHS-963)............................
---------------------------------------------------------------
Total Annual Burden........................ 211,303 .............. .............. 35,253.5
----------------------------------------------------------------------------------------------------------------
* For ease of understanding, burden hours are provided in actual minutes.
The total estimated burden for this collection of information is
35,253.5 hours.
There are no capital costs, operating costs and/or maintenance
costs to respondents to report.
Requests 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 the 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
estimates 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.
P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023-14017 Filed 6-30-23; 8:45 am]
BILLING CODE 4165-16-P