NATIONAL AMBULATORY MEDICAL CARE SURVEY

ICR 199004-0920-005

OMB: 0920-0234

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110930 Migrated
ICR Details
0920-0234 199004-0920-005
Historical Active 198905-0920-008
HHS/CDC
NATIONAL AMBULATORY MEDICAL CARE SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 07/20/1990
Retrieve Notice of Action (NOA) 04/23/1990
This information collection is approved for use with an agreement with NCHS/CDC to add the in-office laboratory questions to the physician's induction interview for the 1991 and 1992 National Ambulatory Care Survey. These questions are the same ones that have been used in previous NAMCS. In adding these questions, the agency should determine the effect of this change on the burden estimate and submit a corrected estimate, if necessary.
  Inventory as of this Action Requested Previously Approved
04/30/1993 04/30/1993 04/30/1991
77,500 0 80,600
3,542 0 3,683
0 0 0

DATA COLLECTED FROM OFFICE BASED PHYSICIANS CONCERNING PATIENT VISITS ARE AGGREGATED TO NATIONAL STATISTICS. THE DATA ARE USED BY THE PUBLI AND PRIVATE SECTORS FOR PUBLIC HEALTH PLANNING, MEDICAL EDUCATION, HEALTH MANPOWER ASSESSMENT, EPIDEMIOLOGIC STUDIES, AND OTHER MEDICAL CARE UTILIZATION RESEARCH.

None
None


No

1
IC Title Form No. Form Name
NATIONAL AMBULATORY MEDICAL CARE SURVEY PHS 6105

  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 77,500 80,600 0 0 -3,100 0
Annual Time Burden (Hours) 3,542 3,683 0 0 -141 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.
04/23/1990


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