Information Collection

National Electronic Health Records Survey (line 7)

IC 196404 under ICR 201111-0920-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
National Electronic Health Records Survey (line 7)	Form
National Electronic Health Records Survey 2012 Att L National EHR Survey 2012.pdf	Form
Att J NAMCS-1 EHR items and list of modifications.pdf Att J - EHR item modifications	IC Document
Att M Item modifications on the National EHR Survey 2012 from the 2011 EMRS.pdf Att M - 2012 EHR item modifications	IC Document

IC Title:

National Electronic Health Records Survey (line 7)

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	none	National Electronic Health Records Survey 2012	Att L National EHR Survey 2012.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title: Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 4,344

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

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	4,344	1,362	2,982
Annual IC Time Burden (Hours)	1,448	454	994
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att J - EHR item modifications	Att J NAMCS-1 EHR items and list of modifications.pdf	11/07/2011
Att M - 2012 EHR item modifications	Att M Item modifications on the National EHR Survey 2012 from the 2011 EMRS.pdf	11/07/2011

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