Information Collection

NIST ITL Electronic Health Record Usability Structured Interview

IC 199765 under ICR 201109-0693-006 · OMB 0693-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NIST-ITL-Structured-EHR-Part2-Usability-InterviewQuestions-9-27-11.doc	Other-Interview Questions
NIST-ITL-Structured-EHR-Part2-FourStandardQuestions-9-27-11.doc NIST-ITL-Structured-EHR-Usability-Interview-Part 2-SupportingStatement	IC Document
NIST-ITL-Structured-EHR-Part2-Email-Invitation-9-27-11.doc NIST-ITL-Structured-EHR-Usability Interview-Email Invitation	IC Document
NIST-ITL-Structured-EHR-Part2-RecruitmentPoster-9-27-11.doc NIST-ITL-Structured-EHR-UsabilityInterview-Part2-RecruitmentPoster	IC Document

IC Title:

NIST ITL Electronic Health Record Usability Structured Interview

Agency IC Tracking Number:

IC Status: New

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
Other-Interview Questions			NIST-ITL-Structured-EHR-Part2-Usability-InterviewQuestions-9-27-11.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIST-ITL-Structured-EHR-Usability-Interview-Part 2-SupportingStatement	NIST-ITL-Structured-EHR-Part2-FourStandardQuestions-9-27-11.doc	11/14/2011
NIST-ITL-Structured-EHR-Usability Interview-Email Invitation	NIST-ITL-Structured-EHR-Part2-Email-Invitation-9-27-11.doc	10/17/2011
NIST-ITL-Structured-EHR-UsabilityInterview-Part2-RecruitmentPoster	NIST-ITL-Structured-EHR-Part2-RecruitmentPoster-9-27-11.doc	10/17/2011

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