Office-based Physicians eligible/Patient Record Form

NCHS National Ambulatory Medical Care Survey, 2007-2008

OMB: 0920-0234

IC ID: 181890

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Office-based Physicians eligible/Patient Record Form
 
  New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction NAHMCS Questionnaire.doc Yes No Printable Only

Health Public Health Monitoring

 

2,008 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60,240 0 60,240 0 0 0
Annual IC Time Burden (Hours) 5,020 0 5,020 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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