76770 Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices 

1 ‘‘Other eligible entities’’ that participate in the 

NPDB are defined in the provisions of Title IV, 

Section 1921, Section 1128E, and implementing 

regulations. In addition, a few federal agencies also 

participate with the NPDB through federal 

memorandums of understanding. Eligible entities 

are responsible for complying with all reporting 

and/or querying requirements that apply; some 

entities may qualify as more than one type of 

eligible entity. Each eligible entity must certify its 

eligibility in order to report to the NPDB, query the 

NPDB, or both. Information from the NPDB is 

available only to those entities specified as eligible 

in the statutes and regulations. Not all entities have 

the same reporting requirements or level of query 

access. 

11. Memorandum to File entitled, ‘‘CVM’s 

review of documents Phibro submitted to 

Docket No. FDA–2021–N–1326 and 

presentation at the March 10, 2022 Part 

15 Hearing’’ (October 30, 2023). 

12. Memorandum to File entitled, ‘‘CVM 

review of comments on the Zhang 

Article that Phibro references in the 

document submitted to the Part 15 

Hearing docket under cover letter dated 

June 9, 2022, and entitled, ‘Phibro 

Animal Health Corporation’s Reply to 

the January 6, 2022 ‘‘CVM Response to 

Phibro Animal Health Corporation’s 

September 18, 2020 Comments on CVM’s 

July 20, 2020 Proposed Order to Revoke 

the Regulatory Method for Carbadox’’ ’ ’’ 

(October 30, 2023). 

13. Zhang, J., W. Qu, Z. Wang, and Y. Pan, 

‘‘Metabolism and Tissue Depletion of 

Carbadox in Swine, Broilers, and Rats,’’ 

ACS Agricultural Science & Technology 

2022 2(3), 477–485. Abstract is available 

at https://pubs.acs.org/doi/abs/10.1021/ 

acsagscitech.1c00260. 

Dated: November 1, 2023. 

Kimberlee Trzeciak, 

Deputy Commissioner for Policy, Legislation, 

and International Affairs. 

[FR Doc. 2023–24548 Filed 11–6–23; 8:45 am] 

BILLING CODE 4164–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission to OMB for 

Review and Approval; Public Comment 

Request; National Practitioner Data 

Bank for Adverse Information on 

Physicians and Other Health Care 

Practitioners—45 CFR Part 60 

Regulations and Forms, OMB No. 

0915–0126—Revision 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, 

HRSA submitted an Information 

Collection Request (ICR) to the Office of 

Management and Budget (OMB) for 

review and approval. Comments 

submitted during the first public review 

of this ICR will be provided to OMB. 

OMB will accept further comments from 

the public during the review and 

approval period. OMB may act on 

HRSA’s ICR only after the 30-day 

comment period for this notice has 

closed. 

DATES: Comments on this ICR should be 

received no later than December 7, 

2023. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under Review—Open for 

Public Comments’’ or by using the 

search function. 

FOR FURTHER INFORMATION CONTACT: To 

request a copy of the clearance requests 

submitted to OMB for review, Joella 

Roland, the HRSA Information 

Collection Clearance Officer, at 

paperwork@hrsa.gov or call (301) 443– 

3983. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the 

information request collection title for 

reference. 

Information Collection Request Title: 

National Practitioner Data Bank for 

Adverse Information on Physicians and 

Other Health Care Practitioners—45 

CFR Part 60 Regulations and Forms, 

OMB No. 0915–0126—Revision. 

Abstract: This is a request for a 

revision of OMB approval of the 

information collection contained in 

regulations found in 45 CFR part 60 

governing the National Practitioner Data 

Bank (NPDB) and the forms to be used 

in registering with, reporting 

information to, and requesting 

information from the NPDB. 

Administrative forms are also included 

to aid in monitoring compliance with 

federal reporting and querying 

requirements. Responsibility for NPDB 

implementation and operation resides 

in HRSA’s Bureau of Health Workforce. 

The intent of the NPDB is to improve 

the quality of health care by 

encouraging entities such as hospitals, 

state licensing boards, professional 

societies, and other eligible entities 1

providing health care services to 

identify and discipline those who 

engage in unprofessional behavior, and 

to restrict the ability of incompetent 

health care practitioners, providers, or 

suppliers to move from state to state 

without disclosure or discovery of 

previous damaging or incompetent 

performance. It also serves as a fraud 

and abuse clearinghouse for the 

reporting and disclosing of certain final 

adverse actions taken against health care 

practitioners, providers, or suppliers by 

health plans, federal agencies, and state 

agencies (excluding settlements in 

which no findings of liability have been 

made). Users of the NPDB include 

reporters (entities that are required to 

submit reports) and queriers (entities 

and individuals that are authorized to 

request information). 

The reporting forms, request for 

information forms (query forms), and 

administrative forms (used to monitor 

compliance) are accessed, completed, 

and submitted to the NPDB 

electronically through the NPDB 

website at https://www.npdb.hrsa.gov/. 

All reporting and querying is performed 

through the secure portal of this 

website. This revision proposes changes 

to improve navigation through the 

secure portal. 

A 60-day notice published in the 

Federal Register on August 22, 2023, 

vol. 88, No. 161; pp. 57118–120. There 

were no public comments. 

Need and Proposed Use of the 

Information: The NPDB acts primarily 

as a flagging system; its principal 

purpose is to facilitate comprehensive 

review of practitioners’ professional 

credentials and background. 

Information is collected from, and 

disseminated to, eligible entities 

(entities that are entitled to query and/ 

or report to the NPDB as authorized in 

Title 45 CFR part 60 of the Code of 

Federal Regulations) on the following: 

(1) medical malpractice payments, (2) 

licensure actions taken by Boards of 

Medical Examiners, (3) state licensure 

and certification actions, (4) federal 

licensure and certification actions, (5) 

negative actions or findings taken by 

peer review organizations or private 

accreditation entities, (6) adverse 

actions taken against clinical privileges, 

(7) federal or state criminal convictions 

related to the delivery of a health care 

item or service, (8) civil judgments 

related to the delivery of a health care 

item or service, (9) exclusions from 

participation in federal or state health 

care programs, and (10) other 

adjudicated actions or decisions. It is 

intended for NPDB information to be 

considered with other relevant 

information in evaluating credentials of 

health care practitioners, providers, and 

suppliers. 

Likely Respondents: Eligible entities 

or individuals that are entitled to query 

and/or report to the NPDB as authorized 

in regulations found at 45 CFR part 60. 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices 76771 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Regulation citation Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

(rounded up) 

§ 60.6: Reporting errors, 

omissions, revisions or 

whether an action is on 

appeal.

Correction, Revision-to-Action, Void, Notice of Appeal (manual).8,897 1 8,897 .2500 2,225 

Correction, Revision-to-Action, Void, Notice of Appeal (automated).14,982 1 14,982 .0003 5 

§ 60.7: Reporting medical 

malpractice payments.

Medical Malpractice Payment (manual).11,080 1 11,080 .7500 8,310 

Medical Malpractice Payment (automated).447 1 447 .0003 1 

§ 60.8: Reporting licensure 

actions taken by Boards 

of Medical Examiners.

State Licensure or Certification (manual).13,996 1 13,996 .7500 10,497 

§ 60.9: Reporting licensure 

and certification actions 

taken by States.

State Licensure or Certification (automated).14,636 1 14,636 .0003 5 

§ 60.10: Reporting Federal 

licensure and certification 

actions.

DEA/Federal Licensure ...... 555 1 555 .7500 417 

§ 60.11: Reporting negative 

actions or findings taken 

by peer review organizations or private accreditation entities.

Peer Review Organization 10 1 10 .7500 8 

Accreditation ....................... 10 1 10 .7500 8 

§ 60.12: Reporting adverse 

actions taken against clinical privileges.

Title IV Clinical Privileges 

Actions.

782 1 782 .7500 587 

Professional Society ........... 27 1 27 .7500 21 

§ 60.13: Reporting Federal 

or State criminal convictions related to the delivery of a health care item 

or service.

Criminal Conviction (Guilty 

Plea or Trial) (manual).

979 1 979 .7500 735 

Criminal Conviction (Guilty 

Plea or Trial) (automated).

406 1 406 .0003 1 

Deferred Conviction or PreTrial Diversion.60 1 60 .7500 45 

Nolo Contendere (no contest plea).75 1 75 .7500 57 

Injunction ............................ 10 1 10 .7500 8 

§ 60.14: Reporting civil judgments related to the delivery of a health care item 

or service.

Civil Judgment .................... 6 1 6 .7500 5 

§ 60.15: Reporting exclusions from participation in 

Federal or State health 

care programs.

Exclusion or Debarment 

(manual).

1,287 1 1,287 .7500 966 

Exclusion or Debarment 

(automated).

2,610 1 2,610 .0003 1 

§ 60.16: Reporting other adjudicated actions or decisions.Government Administrative 

(manual).

1,367 1 1,367 .7500 1,026 

Government Administrative 

(automated).

632 1 632 .0003 1 

Health Plan Action ............. 391 1 391 .7500 294 


khammond on DSKJM1Z7X2PROD with NOTICES
76772 Federal Register / Vol. 88, No. 214 / Tuesday, November 7, 2023 / Notices 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Regulation citation Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

(rounded up) 

§ 60.17 Information which 

hospitals must request 

from the National Practitioner Data Bank.

One-Time Query for an Individual (manual).1,790,355 1 1,790,355 .0800 143,229 

§ 60.18 Requesting Information from the NPDB.One-Time Query for an Individual (automated).3,945,360 1 3,945,360 .0003 1,184 

One-Time Query for an Organization (manual).77,095 1 77,095 .0800 6,168 

One-Time Query for an Organization.

(automated) ........................

33,993 1 33,993 .0003 11 

Self-Query on an Individual 223,589 1 223,589 .4200 93,908 

Self-Query on an Organization.879 1 879 .4200 370 

Continuous Query (manual) 1,030,917 1 1,030,917 .0800 82,474 

Continuous Query (automated).900,661 1 900,661 .0003 271 

§ 60.21: How to dispute the 

accuracy of NPDB information.

Subject Statement and Dispute.4,015 1 4,015 .7500 3,012 

Request for Dispute Resolution.83 1 83 8.0000 664 

Administrative ...................... Entity Registration (Initial) .. 3,252 1 3,252 1.0000 3,252 

Entity Registration (Renewal & Update).12,990 1 12,990 .2500 3,248 

State Licensing Board Data 

Request.

87 1 87 10.5000 914 

State Licensing Board Attestation.360 1 360 1.0000 360 

Authorized Agent Attestation.171 1 171 1.0000 171 

Health Center Attestation ... 724 1 724 1.0000 724 

Hospital Attestation ............ 3,238 1 3,238 1.0000 3,238 

Medical Malpractice Payer, 

Peer Review Organization, or Private Accreditation Organization Attestation.

267 1 267 1.0000 267 

Other Eligible Entity Attestation.4,790 1 4,790 1.0000 4,790 

Corrective Action Plan (Entity).10 1 10 .0800 1 

Reconciling Missing Actions 1,371 1 1,371 .0800 110 

Agent Registration (Initial) .. 78 1 78 1.0000 78 

Agent Registration (Renewal & Update).318 1 318 .0800 26 

Electronic Funds Transfer 

Authorization.

734 1 734 .0800 59 

Authorized Agent Designation.183 1 183 .2500 46 

Account Discrepancy .......... 4 1 4 .2500 1 

New Administrator Request 215 1 215 .0800 18 

Purchase Query Credits ..... 5,590 1 5,590 .0800 448 

Education Request ............. 10 1 10 .0800 1 

Account Balance Transfer .. 10 1 10 .0800 1 

Missing Report From Query 

Form.

10 1 10 .0800 1 

TOTAL ................................ 8,114,604 ........................ 8,114,604 ........................ 374,268 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–24606 Filed 11–6–23; 8:45 am] 

BILLING CODE 4165–15–P 


khammond on DSKJM1Z7X2PROD with NOTICES