45 CFR 164.528 and 45 CFR 5b.9(c):This provision requires covered entities to permit individuals to request that the covered entity provide an accounting of disclosures of protected health information made by the covered entity. The form IHS-913 "Request for an Accounting of Disclosures" is used to document an individual's request for an accounting of disclosures of their protected health information and the agency's handling of the request.
45 CFR 164.526:This provision requires covered entities to permit an individual to request that the covered entity amend protected health information. If the covered entity accepts the requested amendment, in whole or in part, the covered entity must inform the individual that the amendment is accepted. If the covered entity denies the requested amendment, in whole or in part, the covered entity must provide the individual with a written denial. The form IHS-917 "Request for Correction/Amendment of Protected Health Information" will be used to document an individual's request to amend their protected health information and the agency's decision to accept or deny the request.Completed forms used in this collection of information are filed in the IHS medical, health and billing record, a Privacy Act System of Records Notice.Affected Public:Individuals and households.Type of Respondents:Individuals.Burden Hours:The table below provides the estimated burden hours for this information collection:
The total estimated burden for this collection of information is 174,375 hours.There are no capital costs, operating costs and/or maintenance costs to respondents.
Request for Comments:Your written comments and/or suggestions are invited on one or more of the following points: (a) Whether the information collection activity is necessary to carry out an agency function; (b) whether the agency processes the information collected in a useful and timely fashion; (c) the accuracy of public burden estimate (the estimated amount of time needed for individual respondents to provide the requested information); (d) whether the methodology and assumptions used to determine the estimate are logical; (e) ways to enhance the quality, utility, and clarity of the information being collected; and (f) ways to minimize the public burden through the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology.
Send Comments and Requests for Further Information:Send your written comments and requests for more information on the proposed collection or requests to obtain a copy of the data collection instrument(s) and instructions to: Tamara Clay, IHS Reports Clearance Officer, 801 Thompson Avenue, TMP, Suite 450, Rockville, MD 20852, call non-toll free (301) 443-1611, send via facsimile to (301) 443-2316, or send your email requests, comments, and return address to:firstname.lastname@example.org.
Comment Due Date:Your comments regarding this information collection are best assured of having their full effect if received within 60 days of the date of this publication.