NCHS National Ambulatory Medical Care Survey, 2005-2006

ICR 200404-0920-002

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
ICR Details
0920-0234 200404-0920-002
Historical Active 200309-0920-004
HHS/CDC
NCHS National Ambulatory Medical Care Survey, 2005-2006
Revision of a currently approved collection   No
Regular
Approved with change 05/18/2004
Retrieve Notice of Action (NOA) 04/07/2004
NCHS shall not conduct any nonresponse studies or other field experiments until OMB has approved the request via a change worksheet (Form 83-C).
  Inventory as of this Action Requested Previously Approved
05/31/2007 05/31/2007 04/30/2005
70,500 0 70,800
6,176 0 6,176
0 0 0

Data collected from office-based physicians concerning patient visits are aggregated to national statistics. The data are used by the public and private sectors for public health planning, medical education, health manpower assessment, epidemiologic studies, and other medical care utilization and health policy research.

None
None


No

1
IC Title Form No. Form Name
NCHS National Ambulatory Medical Care Survey, 2005-2006 CDC-64.148, CDC-64.149

  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 70,500 70,800 0 -300 0 0
Annual Time Burden (Hours) 6,176 6,176 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
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.
04/07/2004


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