Pulling and re-filing Patient Record form (Line 4)

National Ambulatory Medical Care Survey

OMB: 0920-0234

IC ID: 181891

Information Collection (IC) Details

View Information Collection (IC)

Pulling and re-filing Patient Record form (Line 4)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Pulling and Refiling of Patient Record Att L Pulling and Re-filing.doc No No Paper Only

Health Public Health Monitoring

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

893 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 26,790 0 7,290 0 0 19,500
Annual IC Time Burden (Hours) 447 0 122 0 0 325
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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