Notice2026-18374
Agency Information Collection Activities: Health Care Credentialing Form, DHS Form 5207, OMB Control No. 1601-NEW
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
September 9, 2026
Issuing agencies
Homeland Security Department
Abstract
The Department of Homeland Security will submit the following Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and clearance in accordance with the Paperwork Reduction Act of 1995.
Full Text
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<title>Federal Register, Volume 91 Issue 173 (Wednesday, September 9, 2026)</title>
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[Federal Register Volume 91, Number 173 (Wednesday, September 9, 2026)]
[Notices]
[Pages 57362-57364]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-18374]
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DEPARTMENT OF HOMELAND SECURITY
[Docket Number DHS-2026-0562]
Agency Information Collection Activities: Health Care
Credentialing Form, DHS Form 5207, OMB Control No. 1601-NEW
AGENCY: Department of Homeland Security (DHS).
ACTION: 60-Day notice and request for comments.
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SUMMARY: The Department of Homeland Security will submit the following
Information Collection Request (ICR) to the Office of Management and
Budget (OMB) for review and clearance in accordance with the Paperwork
Reduction Act of 1995.
DATES: Comments are encouraged and will be accepted until November 9,
[[Page 57363]]
2026. This process is conducted in accordance with 5 CFR 1320.1.
ADDRESSES: You may submit comments, identified by docket number Docket
#DHS-2026-0562, at:
[cir] Federal eRulemaking Portal: <a href="http://www.regulations.gov">http://www.regulations.gov</a>.
Please follow the instructions for submitting comments.
Instructions: All submissions received must include the agency name
and docket number Docket #DHS-2026-0562. All comments received will be
posted without change to <a href="http://www.regulations.gov">http://www.regulations.gov</a>, including any
personal information provided.
Docket: For access to the docket to read background documents or
comments received, go to <a href="http://www.regulations.gov">http://www.regulations.gov</a>.
SUPPLEMENTARY INFORMATION: In accordance with the following laws,
statutes, and DHS authorities, the Office of Health Security (OHS),
conducts a process to verify credentials, which permits DHS healthcare
providers to provide designated medical services to, for, or on behalf
of DHS. Once credentialed, DHS healthcare providers may provide care in
any U.S. jurisdiction, and as part of authorized DHS duties, if they
maintain a current, active, valid, and unencumbered license,
registration, or certification, in compliance with Department and
Component policies.
6 U.S.C. 597 pertains to the Chief Medical Officer of the
Department of Homeland Security. This section outlines that the Chief
Medical Officer must be a licensed physician with expertise in medicine
and public health, serving as the principal advisor on medical and
public health issues to the Secretary and other officials. The Chief
Medical Officer is responsible for providing operational medical
support across the Department. Letter from OHS Secretary Mayorkas to
The Honorable Bennie Thompson, U.S. House of Representatives, re:
Notice of Office of Health Security Reorganization Pursuant to 872 of
the Homeland Security Act of 2002 and 513(d) of the Department of
Homeland Security Appropriations Act, 2022 (May 19, 2022).
DHS Delegation 26000 Chief Medical Officer (CMO)/Director of the
Office of Health Security (OHS), the OHS Director/DHS CMO is
responsible for (1) Overseeing all medical, public health, and
workforce health and safety activities of DHS. (2) In collaboration
with DHS components with medical personnel, establish credentialing
policies and programs for medical personnel within the Department.
Note: Delegation 26000 supersedes Delegation 5001 Delegation to the
Assistant Secretary for Health Affairs and Chief Medical Officer.
DHS Medical Quality Management Directive 248-01 and Instruction
248-01-001, the DHS Chief Medical Officer (1) performs credentialing on
behalf of DHS for those personnel (or applicants) whose position
description explicitly requires that the individual has the duties/
qualifications to provide designated medical services (2) Develops a
centralized Credentialing Management System.
The OHS Healthcare Systems and Oversight Directorate (OHS/HCSOD) is
responsible for managing DHS Medical Quality Management Directive 248-
01 and Instruction 248-01-001.
OHS approves credentials for all DHS employee health care providers
and establishes credentialing requirements for all DHS contractors and
detailee health care providers. Component human capital offices have
integrated completion of the DHS Health Care Provider Credentialing
Form (DHS Form 5207) into their hiring process; and it requires OHS/
HCSOD to clear all medical professionals requiring medical licenses,
certifications, registrations, and professional education prior to a
final offer of employment. OHS/HCSOD processes the DHS Form 5207 and
conducts primary source credentialing verification. Additionally, OHS/
HCSOD conducts continuous monitoring and quarterly audits, informing
Component medical offices of any of their personnel who have been
identified as having credentialing issues. The system also generates
deidentified statistical information to support analytics and decision
making. During the pre-hiring process, Component Human Capital emails
the DHS Form 5207 to the applicant. The applicant emails the completed
form to Component Human Capital for coordinating the primary source
credentialing and education verification with OHS/HCSOD. If the
applicant is hired, OHS/HCSOD inputs the DHS Form 5207 information into
the Health and Medical Credentialing System. As a result, the system
contains a credential record for every medical professional hired to
work at DHS. These records contain data fields that mirror those on DHS
Form 5207 information required to meet the objectives of Directive 248-
01 and Instruction 248-01-001.
Hereafter, once the medical professional has a DHS personal
identity verification (PIV) card, the system emails a unique record
link to the medical professional which allows them to update their
license and certifications, when they are renewed, to add additional
license and certifications, and update demographic information. This
prevents the medical professional from having to submit a new DHS 5207
Form with each license or certification renewal which could be annually
or bi-annually, depending on the state of licensure and certifying body
frequency. Using information technology reduces burden on the medical
professional. If the collection of information impacts small businesses
or other small entities (Item 5 of OMB Form 83-I), describe any methods
used to minimize burden.
Maintaining a valid, unencumbered professional medical license is a
condition of employment for federal and contractor medical
professionals who provide health care services on behalf of DHS. If
credentialing verification is not conducted or conducted less
frequently. DHS will increase its liability and will be unable to
mitigate risk to the DHS mission, safeguard against health care fraud,
waste, and abuse, and provides assurance when filling critical medical
professional positions.
There are 3 main user roles for the Health and Medical
Credentialing system--Medical Professionals, Credentialing Specialists,
and Component Human Resource professionals. The personally identifiable
information (PII) collected is date of birth, other names used, home
address and secondary email (personal). All credentialing records in
Health and Medical Credentialing System are accessible to approximately
two employees in OHS's Healthcare and Oversight Division (HCSOD) who
serve as DHS Credentialing Program Manager and Health and Medical
Credentialing system administrators. These employees conduct
verifications for onboarding employees and for employees whose
credentials are due for updates or renewals. They also conduct periodic
credentialing audits. Human Capital professionals from the relevant
Components have access to the system to initiate a record for
verification as part of the new hire process and view the status of the
record. All DHS personnel are required to participate in annual privacy
and security awareness training. The system also generates deidentified
statistical information to support analytics and decision making.
The security system plan is developed according to the DHS 4300
Security requirement sand industry standards which include audit trails
and PIV cards for access controls. Medical credentialing information is
collected in accordance with DHS Privacy Impact Analysis (PIA) DHS/ALL/
PIA-034 Medical Credentials Management
[[Page 57364]]
System and System of Record Notice (SORN) OPM/GOVT-1, General Personnel
Records (71 FR 35356). This is an existing collection in use. DHS is
seeking approval to ensure this collection is compliant with all
requirements outlined under the Paperwork Reduction Act.
The DHS Health and Medical Credentialing Form 5207 is vital for the
Department's process of verifying and approving the credentials of
federal and contractor medical professionals who provide health care
services to, for, or on behalf of DHS. The following information is
collected: Name (first, middle, last, and other names used), date of
birth, address and phone (home and DHS duty station), college or
graduate school attended, degree awarded, and graduation date, provider
type, state license number, certification number, drug enforcement
administration number, national provider identification number, and
basic life support certification with all associated issue and
expiration dates. This information is necessary to confirm that a DHS
healthcare provider holds a current, active, valid, and unencumbered
licenses, registrations, certifications, education, and related
qualifications required for their positions. This credentialing
verification process helps DHS ensure that medical professionals are
qualified to perform designated medical duties and supports the
Department's medical quality management responsibilities. DHS also uses
deidentified statistical information for analytics and decision-making,
such as looking at the number of nurses licensed in a particular state.
During the pre-hiring process applicants submit the completed DHS
Form 5207 through Component Human Capital staff, who coordinate with
the Office of Health Security, Healthcare Systems and Oversight
Directorate, to complete primary source verification of medical
credentials and education. If the applicant is hired, the information
is entered into the DHS Health and Medical Credentialing System to
create and maintain a credentialing record. After a medical
professional receives a DHS PIV card, the system allows the individual
to access their unique credentialing record to update their license,
certification, and demographic information electronically. This reduces
the need to resubmit a new form each time credentials are renewed or
updated.
The collected information is used to support onboarding, credential
verification, renewals, audits, and compliance with DHS medical quality
management requirements. It also helps DHS reduce risk, protect the
mission, safeguard against healthcare fraud, waste, and abuse, and
ensure qualified individuals fill critical medical professional roles.
Access to records is limited to authorized DHS personnel with a need to
know, including credentialing program staff and relevant component
human capital professionals. The system uses access controls, audit
trails, and personal identity verification (PIV) based authentication.
The collection does not impact small businesses or other small
entities. This is an existing collection for which DHS is seeking
approval to ensure compliance with Paperwork Reduction Act
requirements.
The Office of Management and Budget is particularly interested in
comments which:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected; and
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses.
Analysis
Agency: Department of Homeland Security (DHS).
Title: Health Care Credentialing Form DHS Form 5207.
OMB Number: 1601-NEW.
Frequency: Annually.
Affected Public: Medical Professionals.
Number of Respondents: 70.
Estimated Time per Respondent: 30 Minutes.
Total Burden Hours: 2,100.
Robert Dorr,
Executive Director, Business Management Directorate.
[FR Doc. 2026-18374 Filed 9-8-26; 8:45 am]
BILLING CODE 9112-FL-P
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