Information Collection

NAMCS-1 Physician Induction Interview (Line 1)

IC 43612 under ICR 201102-0920-016 · OMB 0920-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NAMCS-1 Physician Induction Interview (Line 1)	Form and Instruction
National Ambulatory Medical Care Survey 2011 Parnel - NA Att F FINAL namcs1.pdf	Form and Instruction
Att C 2012 NAMCS CAM questions.doc Att C - 2012 NAMCS-1 CAM Questions	IC Document
Att O FINAL namcs-1 cc.pdf Att O - NAMCS Control Card Panel	IC Document

IC Title:

NAMCS-1 Physician Induction Interview (Line 1)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	National Ambulatory Medical Care Survey 2011 Parnel - NAMCS 1	Att F FINAL namcs1.pdf		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0167 Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 5,012

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,012	1,355	3,657
Annual IC Time Burden (Hours)	2,339	632	1,707
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att C - 2012 NAMCS-1 CAM Questions	Att C 2012 NAMCS CAM questions.doc	02/14/2011
Att O - NAMCS Control Card Panel	Att O FINAL namcs-1 cc.pdf	02/14/2011

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