National Practitioner Data Bank (NPDB) Regulations

ICR 201409-2900-016

OMB: 2900-0621

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2012-05-03
Supporting Statement A
2015-10-01
IC Document Collections
ICR Details
2900-0621 201409-2900-016
Historical Active 201105-2900-006
VA 2900-0621
National Practitioner Data Bank (NPDB) Regulations
Revision of a currently approved collection   No
Regular
Approved without change 10/06/2015
Retrieve Notice of Action (NOA) 06/16/2015
  Inventory as of this Action Requested Previously Approved
10/31/2018 36 Months From Approved 10/31/2015
350 0 500
1,750 0 2,500
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

  79 FR 70616 11/26/2014
80 FR 7700 02/11/2015
No

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 350 500 0 -150 0 0
Annual Time Burden (Hours) 1,750 2,500 0 -750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Program office anticipates reduced use of this survey instrument.

$0
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@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.
06/16/2015


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