81 FR 15347 - Request for Public Comment: 30-Day Information Collection: Indian Health Service Forms To Implement the Privacy Rule
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service Federal Register Volume 81, Issue 55 (March 22, 2016)
Indian Health Service
Federal Register Volume 81, Issue 55 (March 22, 2016)
| Page Range | 15347-15348 | |
| FR Document | 2016-06445 |
[Federal Register Volume 81, Number 55 (Tuesday, March 22, 2016)] [Notices] [Pages 15347-15348] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-06445] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Information Collection: Indian Health Service Forms To Implement the Privacy Rule AGENCY: Indian Health Service, HHS. ACTION: Notice and request for comments. Request for extension of approval. ----------------------------------------------------------------------- SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the Indian Health Service (IHS) invites the general public to comment on the information collection titled, ``IHS Forms to Implement the Privacy Rule (45 CFR parts 160 and 164),'' Office of Management and Budget (OMB) Control Number 0917-0030. DATES: Comment Due Date: April 21, 2016. Your comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. ADDRESSES: Send your comments and suggestions regarding the proposed information collection contained in this notice, especially regarding the estimated public burden and associated response time to: Office of Management and Budget, Office of Regulatory Affairs, New Executive Office Building, Room 10235, Washington, DC 20503, Attention: Desk Officer for IHS. To request more information on the proposed collection, or to obtain a copy of the data collection instruments and/or instruction(s), contact Tamara Clay by one of the following methods:Mail: Tamara Clay, Information Collection Clearance Officer, Indian Health Service, Office of Management Services, Division of Regulatory Affairs, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Phone: 301-443-4750. Email: [email protected]. Fax: 301-443-2316. SUPPLEMENTARY INFORMATION: This previously approved information collection project was last published in the Federal Register (81 FR 3806) on January 22, 2016, and allowed 60 days for public comment. No public comment was received in response to the notice. This notice announces our intent to submit the collection, which expires April 30, 2016, to OMB for approval of an extension, and to solicit comments on specific aspects of the information collection. The purpose of this notice is to allow 30 days for public comment to be submitted directly to OMB. A copy of the supporting statement is available at www.regulations.gov (see Docket ID IHS-2016-1). Title of Collection: 0917-0030, IHS Forms to Implement the Privacy Rule (45 CFR parts 160 and 164). Type of Information Collection Request: Extension of the currently approved information collection, 0917-0030, IHS Forms to Implement the Privacy Rule (45 CFR parts 160 and 164). Form(s): IHS-810, IHS-912-1, IHS-912-2, IHS-913, and IHS-917. Need and Use of Information Collection: This collection of information is made necessary by the Department of Health and Human Services Rule entitled ``Standards for Privacy of Individually Identifiable Health Information'' (Privacy Rule) (45 CFR parts 160 and 164). The Privacy Rule implements the privacy requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996, creates national standards to protect individual's personal health information, and gives patients increased access to their medical records. 45 CFR 164.508, 164.522, 164.526 and 164.528 of the Rule require the collection of information to implement these protection standards and access requirements. The IHS will continue to use the following data collection instruments to meet the information collection requirements contained in the Rule. 45 CFR 164.508: This provision requires covered entities to obtain or receive a valid authorization for its use or disclosure of protected health information for other than treatment, payment and healthcare operations. Under the provision, individuals may initiate a written authorization permitting covered entities to release their protected health information to entities of their choosing. The form IHS-810 ``Authorization for Use or Disclosure of Protected Health [[Page 15348]] Information'' is used to document an individual's authorization to use or disclose their protected health information. 45 CFR 164.522: Section 164.522(a)(1) requires a covered entity to permit individuals to request that the covered entity restrict the use and disclosure of their protected health information. The covered entity may or may not agree to the restriction. The form IHS-912-1 ``Request for Restrictions(s)'' is used to document an individual's request for restriction of their protected health information, and whether IHS agreed or disagreed with the restriction. Section 164.522(a)(2) permits a covered entity to terminate its agreement to a restriction if the individual agrees to or requests the termination in writing. The form IHS-912-2 ``Request for Revocation of Restriction(s)'' is used to document the agency or individual request to terminate a formerly agreed to restriction regarding the use and disclosure of protected health information. 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 for this information collection: Types of data collection instruments, estimated number of respondents, number of responses per respondent, average burden hour per response, and total annual burden hour(s). ---------------------------------------------------------------------------------------------------------------- Number of Average burden Data collection instrument Number of responses per hour per Total annual respondents respondent response* burden hours ---------------------------------------------------------------------------------------------------------------- Authorization for Use or Disclosure of Protected 210,954 1 10/60 35,159 Health Information (OMB Form No. 0917-0030, IHS- 810)........................................... Request for Restriction(s) (OMB Form No. 0917- 214 1 10/60 36 0030, IHS-912-1)............................... Request for Revocation of Restriction(s) (OMB 3 1 10/60 .5 Form No. 0917-0030, IHS-912-2)................. Request for Accounting of Disclosures (OMB Form 39 1 10/60 6.5 No. 0917-0030, IHS-913)........................ Request for Correction/Amendment of Protected 54 1 10/60 9 Health Information (OMB Form No. 0917-0030, IHS- 917)........................................... --------------------------------------------------------------- Total Annual Burden......................... 211,264 .............. .............. 35,211 ---------------------------------------------------------------------------------------------------------------- * For ease of understanding, burden hours are provided in actual minutes. The total estimated burden for this collection of information is 35,211 hours. There are no capital costs, operating costs and/or maintenance costs to respondents. Requests 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 the 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 estimates 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. Dated: March 10, 2016. Mary Smith, Principal Deputy Director, Indian Health Service. [FR Doc. 2016-06445 Filed 3-21-16; 8:45 am] BILLING CODE 4165-16-P
![Federal Register / Vol. 81, No. 55 / Tuesday, March 22, 2016 / Notices 15347
Township 30 South, Range 27 East, Polk ITP. If it is determined that the • Fax: 301–443–2316.
County, Florida. The applicant currently requirements of the Act are met, the ITP SUPPLEMENTARY INFORMATION: This
has neither a time frame for will be issued. previously approved information
development, nor a specific site plan; collection project was last published in
Authority
however, development of this parcel the Federal Register (81 FR 3806) on
would likely include construction of We provide this notice under Section January 22, 2016, and allowed 60 days
one or more structures and a parking 10 of the Endangered Species Act (16 for public comment. No public
area, and installation of associated U.S.C. 1531 et seq.) and NEPA comment was received in response to
utilities. regulations (40 CFR 1506.6). the notice. This notice announces our
The applicant proposes to minimize Dated: March 14, 2016. intent to submit the collection, which
impacts to skinks by preserving a total Roxanna Hinzman, expires April 30, 2016, to OMB for
of 5.08 acres of skink-occupied habitat approval of an extension, and to solicit
Field Supervisor, South Florida Ecological
off site. The Service listed the skinks as Services Office. comments on specific aspects of the
threatened in 1987 (November 6, 1987; information collection. The purpose of
[FR Doc. 2016–06379 Filed 3–21–16; 8:45 am]
52 FR 20715), effective December 7, this notice is to allow 30 days for public
BILLING CODE 4333–15–P
1987. comment to be submitted directly to
Our Preliminary Determination OMB. A copy of the supporting
We have made a preliminary DEPARTMENT OF HEALTH AND statement is available at
determination that the applicant’s HUMAN SERVICES www.regulations.gov (see Docket ID
project, including the mitigation IHS–2016–1).
Indian Health Service Title of Collection: 0917–0030, IHS
measures, will individually and
cumulatively have a minor or negligible Forms to Implement the Privacy Rule
Request for Public Comment: 30-Day (45 CFR parts 160 and 164). Type of
effect on the species covered in the Information Collection: Indian Health
HCP. Therefore, our proposed issuance Information Collection Request:
Service Forms To Implement the Extension of the currently approved
of the requested ITP qualifies as a Privacy Rule
categorical exclusion under the National information collection, 0917-0030, IHS
Environmental Policy Act (NEPA), as AGENCY: Indian Health Service, HHS. Forms to Implement the Privacy Rule
provided by Department of the Interior ACTION:Notice and request for (45 CFR parts 160 and 164). Form(s):
implementing regulations in part 46 of comments. Request for extension of IHS–810, IHS–912–1, IHS–912–2, IHS–
title 43 of the Code of Federal approval. 913, and IHS–917. Need and Use of
Regulations (43 CFR 46.205, 46.210, and Information Collection: This collection
46.215). We base our preliminary SUMMARY: In compliance with the of information is made necessary by the
determination that issuance of the ITP Paperwork Reduction Act of 1995, the Department of Health and Human
qualifies as a low-effect action on the Indian Health Service (IHS) invites the Services Rule entitled ‘‘Standards for
following three criteria: (1) general public to comment on the Privacy of Individually Identifiable
Implementation of the project would information collection titled, ‘‘IHS Health Information’’ (Privacy Rule) (45
result in minor or negligible effects on Forms to Implement the Privacy Rule CFR parts 160 and 164). The Privacy
federally listed, proposed, and (45 CFR parts 160 and 164),’’ Office of Rule implements the privacy
candidate species and their habitats; (2) Management and Budget (OMB) Control requirements of the Administrative
Implementation of the project would Number 0917–0030. Simplification subtitle of the Health
result in minor or negligible effects on DATES: Comment Due Date: April 21, Insurance Portability and
other environmental values or 2016. Your comments regarding this Accountability Act of 1996, creates
resources; and (3) Impacts of the project, information collection are best assured national standards to protect
considered together with the impacts of of having full effect if received within individual’s personal health
other past, present, and reasonably 30 days of the date of this publication. information, and gives patients
foreseeable similarly situated projects, ADDRESSES: Send your comments and increased access to their medical
would not result, over time, in suggestions regarding the proposed records. 45 CFR 164.508, 164.522,
cumulative effects to environmental information collection contained in this 164.526 and 164.528 of the Rule require
values or resources that would be notice, especially regarding the the collection of information to
considered significant. This preliminary estimated public burden and associated implement these protection standards
determination may be revised based on response time to: Office of Management and access requirements. The IHS will
our review of public comments that we and Budget, Office of Regulatory Affairs, continue to use the following data
receive in response to this notice. New Executive Office Building, Room collection instruments to meet the
10235, Washington, DC 20503, information collection requirements
Next Steps contained in the Rule.
Attention: Desk Officer for IHS.
We will evaluate the HCP and To request more information on the 45 CFR 164.508: This provision
comments submitted thereon to proposed collection, or to obtain a copy requires covered entities to obtain or
determine whether the application of the data collection instruments and/ receive a valid authorization for its use
meets the requirements of section 10(a) or instruction(s), contact Tamara Clay or disclosure of protected health
of the Act. We will also evaluate information for other than treatment,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
by one of the following methods:
whether issuance of the section • Mail: Tamara Clay, Information payment and healthcare operations.
10(a)(1)(B) ITP complies with section 7 Collection Clearance Officer, Indian Under the provision, individuals may
of the Act by conducting an intra- Health Service, Office of Management initiate a written authorization
Service section 7 consultation. The Services, Division of Regulatory Affairs, permitting covered entities to release
results of this consultation, in 5600 Fishers Lane, Mail Stop 09E70, their protected health information to
combination with the above findings, Rockville, MD 20857. entities of their choosing. The form
will be used in the final analysis to • Phone: 301–443–4750. IHS–810 ‘‘Authorization for Use or
determine whether or not to issue the • Email: tamara.clay@ihs.gov. Disclosure of Protected Health
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![15348 Federal Register / Vol. 81, No. 55 / Tuesday, March 22, 2016 / Notices
Information’’ is used to document an restriction regarding the use and entity denies the requested amendment,
individual’s authorization to use or disclosure of protected health in whole or in part, the covered entity
disclose their protected health information. must provide the individual with a
information. 45 CFR 164.528 and 45 CFR 5b.9(c): written denial. The form IHS–917
45 CFR 164.522: Section 164.522(a)(1) This provision requires covered entities ‘‘Request for Correction/Amendment of
requires a covered entity to permit to permit individuals to request that the Protected Health Information’’ will be
individuals to request that the covered covered entity provide an accounting of used to document an individual’s
entity restrict the use and disclosure of disclosures of protected health request to amend their protected health
their protected health information. The information made by the covered entity. information and the agency’s decision to
covered entity may or may not agree to The form IHS–913 ‘‘Request for an
accept or deny the request. Completed
the restriction. The form IHS–912–1 Accounting of Disclosures’’ is used to
forms used in this collection of
‘‘Request for Restrictions(s)’’ is used to document an individual’s request for an
document an individual’s request for accounting of disclosures of their information are filed in the IHS medical,
restriction of their protected health protected health information and the health and billing record, a Privacy Act
information, and whether IHS agreed or agency’s handling of the request. System of Records Notice. Affected
disagreed with the restriction. Section 45 CFR 164.526: This provision Public: Individuals and households.
164.522(a)(2) permits a covered entity to requires covered entities to permit an Type of Respondents: Individuals.
terminate its agreement to a restriction individual to request that the covered Burden Hours: The table below provides
if the individual agrees to or requests entity amend protected health for this information collection: Types of
the termination in writing. The form information. If the covered entity data collection instruments, estimated
IHS–912–2 ‘‘Request for Revocation of accepts the requested amendment, in number of respondents, number of
Restriction(s)’’ is used to document the whole or in part, the covered entity responses per respondent, average
agency or individual request to must inform the individual that the burden hour per response, and total
terminate a formerly agreed to amendment is accepted. If the covered annual burden hour(s).
Number of Average
Number of Total annual
Data collection instrument responses per burden hour
respondents burden hours
respondent per response*
Authorization for Use or Disclosure of Protected Health Information (OMB
Form No. 0917–0030, IHS–810) .................................................................. 210,954 1 10/60 35,159
Request for Restriction(s) (OMB Form No. 0917–0030, IHS–912–1) ............ 214 1 10/60 36
Request for Revocation of Restriction(s) (OMB Form No. 0917–0030, IHS–
912–2) .......................................................................................................... 3 1 10/60 .5
Request for Accounting of Disclosures (OMB Form No. 0917–0030, IHS–
913) .............................................................................................................. 39 1 10/60 6.5
Request for Correction/Amendment of Protected Health Information (OMB
Form No. 0917–0030, IHS–917) .................................................................. 54 1 10/60 9
Total Annual Burden ................................................................................. 211,264 35,211
* For ease of understanding, burden hours are provided in actual minutes.
The total estimated burden for this (f) ways to minimize the public SUMMARY: The plats of survey of the
collection of information is 35,211 burden through the use of automated, following described lands are scheduled
hours. electronic, mechanical, or other to be officially filed in the Bureau of
There are no capital costs, operating technological collection techniques or Land Management, Oregon State Office,
costs and/or maintenance costs to other forms of information technology. Portland, Oregon, 30 days from the date
respondents. Dated: March 10, 2016. of this publication.
Requests for Comments: Your written Mary Smith, Willamette Meridian
comments and/or suggestions are Principal Deputy Director, Indian Health Oregon
invited on one or more of the following Service.
T. 16 S., R. 2 E., accepted March 14,
points: [FR Doc. 2016–06445 Filed 3–21–16; 8:45 am] 2016.
(a) Whether the information collection BILLING CODE 4165–16–P Washington
activity is necessary to carry out an Tps. 33 and 34 N., R. 2 E, accepted
agency function; March 8, 2016.
(b) whether the agency processes the ADDRESSES: A copy of the plats may be
information collected in a useful and DEPARTMENT OF THE INTERIOR
obtained from the Public Room at the
timely fashion; Bureau of Land Management Bureau of Land Management, Oregon
(c) the accuracy of the public burden State Office, 1220 SW. 3rd Avenue,
estimate (the estimated amount of time [LLOR957000–L14400000–BJ0000– Portland, Oregon 97204, upon required
asabaliauskas on DSK3SPTVN1PROD with NOTICES
needed for individual respondents to 16XL1109AF: HAG 16–0101 payment.
provide the requested information); FOR FURTHER INFORMATION CONTACT: Kyle
(d) whether the methodology and Filing of Plats of Survey: Oregon/ Hensley, (503) 808–6132, Branch of
assumptions used to determine the Washington Geographic Sciences, Bureau of Land
estimates are logical; AGENCY: Bureau of Land Management, Management, 1220 SW. 3rd Avenue,
(e) ways to enhance the quality, Interior. Portland, Oregon 97204. Persons who
utility, and clarity of the information use a telecommunications device for the
ACTION: Notice.
being collected; and deaf (TDD) may call the Federal
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Document Created: 2018-02-02 15:15:18
Document Modified: 2018-02-02 15:15:18
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice and request for comments. Request for extension of approval. | |
| Dates | Comment Due Date: April 21, 2016. Your comments regarding this information collection are best assured of having full effect if received within 30 days of the date of this publication. | |
| FR Citation | 81 FR 15347 |
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