Electronic Medical Record/Electronic Health Record Mail Survey Form

National Ambulatory Medical Care Survey

OMB: 0920-0234

IC ID: 189598

Information Collection (IC) Details

View Information Collection (IC)

Electronic Medical Record/Electronic Health Record Mail Survey Form
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form unnumbered EMR/EHR Mail Survey form NAMCS 09-12 OMB ATT T.pdf No No Paper Only

Health Public Health Monitoring

09-20-0167 Health Resources Utilization Statistics  49 FR 37693

1,143 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 0 0 -1,143 0 0 1,143
Annual IC Time Burden (Hours) 0 0 -381 0 0 381
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
EMR/EHR letters and script NAMCS 09-12 OMB ATT S.pdf 05/11/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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