Covered Entity Privacy and Security Officers

HIPAA Audit Review Survey

OMB: 0945-0005

IC ID: 207132

Information Collection (IC) Details

View Information Collection (IC)

Covered Entity Privacy and Security Officers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey HIPAA Audit Participant Survey.pdf https://forms.office.com/Pages/ResponsePage.aspx?id=6t2K1VNQgEqEmbpNlEkQ3255StEpcjtIspm8c6B8agpUOVRRSzNaRU0yMUtTREVQTEtLNFlUVEcwMy4u Yes Yes Fillable Fileable

Health Health Care Services

 

166 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 166 0 166 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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