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National Electronic Health Records Survey (line 7)
National Ambulatory Medical Care Survey
OMB: 0920-0234
IC ID: 196404
OMB.report
HHS/CDC
OMB 0920-0234
ICR 201111-0920-001
IC 196404
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:
2022-10-21 - Revision of a currently approved collection
2021-06-01 - Revision of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
4,344
0
1,362
0
0
2,982
Annual IC Time Burden (Hours)
1,448
0
454
0
0
994
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.