National Practitioner Data Bank (NPDB) Regulations

ICR 201105-2900-006

OMB: 2900-0621

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2012-05-03
Supporting Statement A
2011-09-08
IC Document Collections
ICR Details
2900-0621 201105-2900-006
Historical Active 200905-2900-003
VA 2900-0621
National Practitioner Data Bank (NPDB) Regulations
Extension without change of a currently approved collection   No
Regular
Approved with change 06/11/2012
Retrieve Notice of Action (NOA) 09/08/2011
Approved consistent with VA memo included in OMB's docket on 5/03/12; as outlined in VA's response, the VA will continue to utilize this collection to pre-screen job applicants to VA medical facilities.
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved 06/30/2012
500 0 350
2,500 0 1,750
0 0 0

Used to determine if a malpractice payment is related to substandard care, professional incompetence or misconduct as well as to systematically screen and review qualifications and other credentials such as licensure, education, training, past experience, current competence and health status of doctors, dentists and other healthcare professionals.

None
None

Not associated with rulemaking

  76 FR 109 06/07/2011
76 FR 168 08/30/2011
Yes

1
IC Title Form No. Form Name
National Practitioner Data Bank (NPDB) Regulations

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 350 0 0 150 0
Annual Time Burden (Hours) 2,500 1,750 0 0 750 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The change in hours is due to the increase in reports with the implementation of the Proactive Disclosure/Continuous Query Service (PD/CQS). The enrollment in PD/CQS does not wait for the biannual review or change in privileges but rather directly transmits to VA any new report to the NPDB requiring following with the reporting entity. VA form 10-490 was made obsolete by VetPro, VHA's electronic credentialing system and is therefore no longer used.

$200,000
No
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/08/2011


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