04-6739. Agency Information Collection Activities: Submission for OMB Review; Comment Request

Periodically, the Health Resources and Services Administration (HRSA) publishes abstracts of information collection requests under review by the Office of Management and Budget, in compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 35). To request a copy of the clearance requests submitted to OMB for review, call the HRSA Reports Clearance Office on (301)-443-1129.

Proposed Project: Healthcare Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers, and Practitioners (OMB No. 0915-0239)—Revision

Section 221(a) of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 specifically directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting and disclosure of certain final adverse actions taken against health care providers, suppliers, and practitioners. A final rule was published October 26, 1999, in the Federal Register to implement the statutory requirements of section 1128E of the Social Security Act (The Act) as added by section 221(a) of HIPAA. The Act requires the Secretary to implement the national healthcare fraud and abuse data collection program. This data bank is known as the Healthcare Integrity and Protection Data Bank (HIPDB). It contains the following types of information: (1) Civil judgments against a health care provider, supplier, or practitioner in Federal or State court related to the delivery of a health care item or service; (2) Federal or State criminal convictions against a health care provider, supplier, or practitioner related to the delivery of a health care item or service; (3) Actions by Federal or State agencies responsible for the licensing and certification of health care providers, suppliers, or practitioners; (4) Exclusion of a health care provider, practitioner or supplier from participation in Federal or State health care programs; and (5) Any other adjudicated actions or decisions that the Secretary shall establish by regulations. Access to this data bank is limited to Federal and State government agencies and health plans.

This request is for a revision of reporting and querying forms previously approved on March 15, 2001. The reporting forms and the request for information forms (query forms) must be accessed, completed, and submitted to the HIPDB electronically through the HIPDB Web site at http://www.npdb-hipdb.com. All reporting and querying is performed through this secure Web site. Due to overlap in requirements for the HIPDB, some of the National Practitioner Data Bank's burden has been subsumed under the HIPDB.

Estimates of burden are as follows:

Regulation citation	Number of respondents	Frequency of responses	Hours per response (min.)	Total burden hours
61.6 (a), (b) Errors & Omissions	172	4.3	15	184.9
61.6 Revisions/Appeal Status	107	23.25	30	1,243.9
61.7 Reporting by State Licensure Boards	275	70.3	45	14,499.4
61.8 Reporting of State Criminal Convictions	62	8	45	372
61.9 Reporting of Civil Judgments	54	13	45	526.5
61.10(b) Reporting Exclusions from participating in Federal and State Health Care Programs	10	441.4	45	3,310.5
61.11 Reporting of adjudicated actions/decisions	410	12.5	45	3,843.8
61.12 Request for Information State Licensure Boards	1,000	67.5	5	5,622.8
61.12 Request for Information State Certification Agencies	16	6	5	8
61.12 Request for Information States/District Attorneys & Law Enforcement	2,000	25	5	4,165
61.12 Request for Information State Medicaid Fraud Units	47	50	5	195.8
61.12 Request for Information Health Plans	2,841	263.8	5	62,429.7
61.12 Request for Information Health Care Providers, Suppliers, Practitioners (self-query)	37,925	1	25	15,799.6
61.12(a)(4) Request by Researchers for Aggregate Data	1	1	30	.5
61.15 Place Report in Dispute	459	1	5	38.2
61.15 Add a Statement	238	1	45	178.5
61.15 Request for Secretarial Review	43	1	480	344
Entity Registration	2,500	1	60	2,500
Entity Registration—Update	451	1	5	37.6
Entity Reactivation	450	1	60	450
Authorized Agent Designation	100	1	15	25
Authorized Agent Designation—Update	250	1	5	20.8
Account Discrepancy	1,000	1	15	250
Electronic Funds Transfer Authorization	400	1	15	100
Total				116,146.5
Numbers in the table may not add up exactly due to rounding.

Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to: Desk Officer, Health Resources and Services Administration, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503.

Dated: March 15, 2004.

Tina M. Cheatham,

Director, Division of Policy Review and Coordination.