---
kind: "section"
citation: "45 C.F.R. § 172.701"
title: "45"
number: "172.701"
heading: "Attestation submission and acceptance."
url: "https://uscodex.org/cfr/45/172.701"
---

# §172.701. Attestation submission and acceptance.

- (a) **Applicability.** This subpart establishes:
  - (1) **The attestation submission requirements for QHINs.**
  - (2) The review and acceptance processes that ASTP/ONC will follow for TEFCA attestations.
- (b) **Submission of QHIN attestation.**
  - (1) In order to be listed in the QHIN Attestation Directory described in [§ 172.702](/cfr/45/172.702.md), a QHIN must submit all of the following information to ASTP/ONC:
    - (i) **Attestation affirming its adoption of the Common Agreement and Trusted Exchange Framework.**
    - (ii) **General identifying information, including—**
      - (A) **Name, address, city, state, zip code, and a hyperlink to its website.**
      - (B) Designation of an authorized representative, including the representative's name, title, phone number, and email address.
    - (iii) **Documentation confirming its Designation as a QHIN.**
  - (2) A QHIN must provide ASTP/ONC with written notice of any changes to its identifying information provided in accordance with this [paragraph (b)](#b) within thirty (30) business days of the change(s) to its identifying information.
- (c) **Submission method.** A QHIN must electronically submit its attestation and documentation either via an email address identified by ASTP/ONC or via a submission on the ASTP/ONC website, if available.
- (d) **Review and acceptance.**
  - (1) Within thirty (30) business days, ASTP/ONC will either accept or reject an attestation submission.
  - (2) ASTP/ONC will accept an attestation if it determines that the QHIN has satisfied the requirements of paragraphs [(b)](#b) and [(c)](#c) of this section. ASTP/ONC will provide written notice to the applicable QHIN's authorized representative that the attestation has been accepted.
  - (3) ASTP/ONC will reject an attestation if it determines that the requirements of paragraph [(b)](#b) or [(c)](#c) of this section, or both, have not been satisfied.
  - (4) ASTP/ONC will provide written notice to the QHIN's authorized representative of the determination along with the basis for the determination.
  - (5) An ASTP/ONC determination under this section is final agency action and not subject to further administrative review, except the Secretary may choose to review the determination as provided in [§ 172.607(b)](/cfr/45/172.607.md?p=b). However, a QHIN may, at any time, resubmit an attestation in accordance with paragraphs [(b)](#b) and [(c)](#c) of this section.

## Notes

### Authority

Authority: 42 U.S.C. 300jj-11; 5 U.S.C. 552.

### Source

Source: 89 FR 101810, Dec. 16, 2024, unless otherwise noted.