NCHS National Ambulatory Medical Care Survey, 2007-2008

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NAMCS_83c_EHR 2009 101409.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-01-14	Available
NAMCS Att. A 2009 EMR survey Draft.doc	Supplementary Document	Uploaded 2009-01-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43612	Office-Based Physicians Eligible/Physician Induction Interview	Instruction	Modified
181893	Office-Based Physicians ineligible/Physician Induction Interview	Instruction	Modified
181892	Office-Based Physicians eligible/Cervical Cancer Screening Supplement	Instruction	Modified
181891	Office-Based Physicians eligible/Pulling and Re-filing Patient Record Form	Instruction	Modified
181890	Office-based Physicians eligible/Patient Record Form	Instruction	Modified
181889	Office-based physicians eligible/Physician Induction Interview	Instruction	Modified

ICR Details

OMB Control No: 0920-0234	ICR Reference No: 200901-0920-007
Status: Historical Active	Previous ICR Reference No: 200801-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS National Ambulatory Medical Care Survey, 2007-2008
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/22/2009
	Date Received in OIRA: 01/16/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	08/31/2009	08/31/2009
Responses	75,886	0	75,886
Time Burden (Hours)	7,207	0	7,207
Cost Burden (Dollars)	0	0	0

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Abstract: Data collected from office-based physicians, and community health center providers, concerning patient visits are aggregated to national statistics. This nonsubstantive change will permit NAMCS to collect again in 2009 electronic medical record data that had been approved for collection in 2008.

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Authorizing Statute(s): US Code: 42 USC 242K Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Office-based physicians eligible/Physician Induction Interview
Office-Based Physicians Eligible/Physician Induction Interview
Office-based Physicians eligible/Patient Record Form
Office-Based Physicians eligible/Pulling and Re-filing Patient Record Form
Office-Based Physicians eligible/Cervical Cancer Screening Supplement
Office-Based Physicians ineligible/Physician Induction Interview

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ICR Summary of Burden

table that charts list of burden

	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	75,886	75,886	0	0	0	0
Annual Time Burden (Hours)	7,207	7,207	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/16/2009

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