NATIONAL AMBULATORY MEDICAL CARE SURVEY - 1980 COMPLEMENT SURVEY

ICR 197910-0937-001

OMB: 0937-0066

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0937-0066 197910-0937-001
Historical Active
HHS/OASH
NATIONAL AMBULATORY MEDICAL CARE SURVEY - 1980 COMPLEMENT SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/05/1979
Retrieve Notice of Action (NOA) 10/15/1979
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980
17,000 0 0
617 0 0
0 0 0

THIS IS AN EVALUATION STUDY TO ASSESS BAIS IN THE SAMPLING FRAME USED FOR THE NATIONAL AMBULATORY MEDICAL CARE SURVEY (NAMCS) (OMB NO. 68-R1498) OF NCHS. FINDINGS WILL BE USED TO ASSESS AND IMPROVE COVERAGE OF THE UNIVERSE OF PHYSICIANS DEFINED AS THE UNIVERSE FOR SELECTION OF THE NAMCS SAMPLE.

None
None


No

1
IC Title Form No. Form Name
NATIONAL AMBULATORY MEDICAL CARE SURVEY - 1980 COMPLEMENT SURVEY PHS-6105, A, B, C,, & D

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,000 0 0 0 17,000 0
Annual Time Burden (Hours) 617 0 0 0 617 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/15/1979


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