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NHAMCS Att T Cover sheet 2009 Revised100(ASC).doc

National Hospital Ambulatory Medical Care Survey

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OMB: 0920-0278

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Attachment T. Cover sheet. 2009 NHAMCS-100(ASC)


The following statement will be added to the 2009 NHAMCS forms in place of the assurance statement which has been used to date:


Assurance of Confidentiality All information which would permit identification of an individual, a practice, or an establishment will be held confidential, will be used only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).





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File TitleAttachment X
AuthorMJH5
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File Modified2008-06-30
File Created2008-06-30

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