National Practitioner Data Bank (NPDB) Regulations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0621 can be found here:

Documents and Forms

Document Name Document Type
NPDB regulation.pdf fcp.vetpro.org Other-database
FL 10-490 Department of Veterans Affairs Release of Information FL 10-490 Verification of Credentials Letter.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Practitioner Data Bank (NPDB) Regulations	Agency IC Tracking Number:	2900-0621

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 1.46

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-database			NPDB regulation.pdf	https://fcp.vetpro.org	Yes	Yes	Fillable Printable
Form	FL 10-490	Department of Veterans Affairs Release of Information	FL 10-490 Verification of Credentials Letter.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.