Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164

ICR 202509-0945-001

OMB: 0945-0003

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2025-11-13
Supplementary Document
2025-11-13
Supporting Statement A
2024-04-30
IC Document Collections
IC ID
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Status
264566
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264565
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264564
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259737
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259736
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259735
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259734
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259733
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259731
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237898
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237897
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221884
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221881
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221871
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221866
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208573
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190153
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190150
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190149
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190147
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190146
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190145
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190144
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190143
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10428
Unchanged
ICR Details
0945-0003 202509-0945-001
Received in OIRA 202401-0945-002
HHS/OCR 20296
Standards for Privacy of Individually Identifiable Health Information and Supporting Regulations at 45 CFR Parts 160 and 164
No material or nonsubstantive change to a currently approved collection   No
Regular 11/13/2025
  Requested Previously Approved
07/31/2027 07/31/2027
1,154,350,069 1,154,350,069
953,982,239 953,982,239
163,499,411 163,499,411

The individually identifiable health information collected is used by patients and by more than 700,000 covered entities affected by the HIPAA Privacy Rule. The information is routinely used by covered entities for treatment, payment, and health care operations. In addition, the information is used for specified public policy purposes, including research, public health, and as required by other laws.

PL: Pub.L. 104 - 191 1 Name of Law: Health Insurance Portability and Accountability Act of 1996
   PL: Pub.L. 116 - 136 3221 Name of Law: Coronavirus Aid, Relief, and Economic Security Act
  
PL: Pub.L. 116 - 136 3221 Name of Law: Coronavirus Aid, Relief, and Economic Security Act

0945-AA20 Final or interim final rulemaking 89 FR 32976 04/26/2024

Yes

44
IC Title Form No. Form Name
164.504 Revising Business Associate Agreements
164.509 Disclosures for which attestation is required
164.520 Notice of Privacy Practices for Protected Health Information― Post updated notice online
164.520 Notice of Privacy Practices for Protected Health Information―Updating
164.530 Administrative Requirements-Policies & Procedures (new and updated)
164.530 Administrative Requirements―Training― 164.525 Update training content
500 or More Affected Individuals (investigating and documenting breach)
Access of Individuals to Protected Health Information (copies of PHI)
Accounting for Disclosures of Protected Health Information
Amendment of Protected Health Information (denials)
Amendment of Protected Health Information (requests)
Attestations requiring additional action
Attestations requiring investigation review
Business Associate Notice to Covered Entity – 500 or more affected individuals
Business Associate Notice to Covered Entity – Less than 500 affected individuals
Contingency Plan- Criticality Analysis
Contingency Plan- Testing and Revision
Documentation - Review and Update
Individual Notice- Substitute Notice (posting or publishing)
Individual Notice- Written and E-mail Notice (drafting)
Individual Notice-Substitute Notice (individuals' voluntary burden to call toll-free number for information)
Individual Notice-Substitute Notice (staffing toll-free number)
Individual Notice-Written and E-mail Notice (preparing and documenting notification)
Individual Notice-Written and E-mail Notice(processing and sending)
Information System Activity Review- Documentation
Less than 500 Affected Individuals (investigating and documenting breach)
Less than 500 Affected Individuals (investigating and documenting breach) breaches affecting <10 individuals
Maintenance Records
Media Notice
Notice of Privacy Practice for Protected Health Information (Health plans- periodic distribution of NPPs by electronic mail)
Notice of Privacy Practices for Protected Health Information (health care providers - dissemination/acknowledgement
Notice of Privacy Practices for Protected Health Information/health plan distribution paper mail
Notice of Privacy Practices for Protected Health Information―Mailing notice to 10% of subscribers at a rate of 240 notices/hour
Notice to Secretary (notice for breaches affecting 500 or more individuals)
Notice to Secretary (notice for breaches affecting fewer than 500 individuals)
Process for Requesting Exception Determinations (states or persons)
Rights to request privacy protection for protected health information
Risk Analysis-Documentation
Security Incidents (other than breaches)- Documentation
Security Incidents- Business Associate reporting of incidents (other than breach) to Covered Entities
Security Reminders- Periodic Updates
Uses and Disclosures for Research Purposes
Uses and Disclosures for which Individual authorization is required
Uses and Disclosures-Organizational Requirement

  Total Request 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 1,154,350,069 1,154,350,069 0 0 0 0
Annual Time Burden (Hours) 953,982,239 953,982,239 0 0 0 0
Annual Cost Burden (Dollars) 163,499,411 163,499,411 0 0 0 0
No
No
Burdens increased due to updated estimates for the number of covered entities, costs of postage, wage rates, number of breaches, and number of individuals requesting access to copies of their protected health information. Burdens increased for the one-time activities of updating policies and procedures, updating employee training, revising business associate agreements, and revising the NPP, and the recurring activity of obtaining an attestation for certain requests for copies of protected health information. Hourly burdens decreased for providing individual breach notification due to a drop in the number of affected individuals per breach in the most recent published reports.

$216,000
No
    No
    No
No
No
No
No
Sherri Morgan 202 774-3042 sherri.morgan@hhs.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.
11/13/2025


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