Physician Workflow Survey (line 8)

National Ambulatory Medical Care Survey

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Physician Workflow Survey (line 8) Form
Att N - 2012 Physician Workflow Supplement - EHR Adopter Att N Workflow_Adopters.pdf Form
Att O - 2012 Physician Workflow Supplelment - EHR Nonado Att O Workflow_Nonadopters.pdf Form

Information Collection (IC) Details

IC Title:	Physician Workflow Survey (line 8)	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	Att N - 2012 Physician Workflow Supplement - EHR Adopters	Att N Workflow_Adopters.pdf		Yes	No	Fillable Printable
Form	none	Att O - 2012 Physician Workflow Supplelment - EHR Nonadopters	Att O Workflow_Nonadopters.pdf		Yes	No	Fillable Printable

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: 2,645	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,645	2,545	100
Annual IC Time Burden (Hours)	1,323	1,265	58
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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