HHS seeks comments on TEFCA monitoring information collection
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This notice opens a 60-day comment period on HHS’s plan to collect feedback and performance information related to TEFCA, the national framework for trusted health information exchange. The Office of the National Coordinator for Health IT wants a three-year approval to gather routine input from TEFCA users and stakeholders, mainly Qualified Health Information Networks. For affected health information networks, the practical issue is reporting workload. ONC estimates 15 respondents will take part each year, with activities such as applications, monthly and quarterly reports, attestations, directory submissions, usability testing, and other feedback. Comments are due by July 10, 2026.
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Key Changes
- Opens a 60-day public comment period on a new TEFCA information collection request
- Seeks three-year approval for ONC to collect routine feedback and monitoring data from TEFCA users
- Estimates an annual reporting burden of 1,420 hours for Qualified Health Information Networks
Obligations
What this law requires
Interested persons submitting comments on the proposed TEFCA information collection must ensure comments are received by HHS/ONC on or before July 10, 2026.
Qualified Health Information Networks would submit a QHIN Application as part of TEFCA monitoring information collections.
Qualified Health Information Networks would submit monthly TEFCA monitoring reports to support ONC program management and performance monitoring.
Commenters must reference document identifier 0990-New-60D and the collection title “Generic Clearance for the Trusted Exchange Framework and Common Agreement (TEFCA) Monitoring Activities” when submitting comments or requesting supporting materials.
Qualified Health Information Networks participating in the proposed TEFCA monitoring activities are expected to submit a QHIN Application as part of the information collection.