Information Collection

NIST, ITL, Electronic Health Record (EHR) Usability Structured Interview - Part 2

IC 203383 under ICR 201206-0693-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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-7-19-12.doc	Other-Interview Questions
NIST-ITL-Structured-EHR-Part2-RecruitmentPoster-7-19-12.doc NIST, ITL, Structured EHR Interview - Part 2 - Recruitment Poster	IC Document
NIST-ITL-Structured-EHR-Part2-Email-Invitation-7-19-12.doc NIST, ITL, Structured EHR Interview - Part 2 - Invitation Email	IC Document
NIST-ITL-Structured-EHR-Part-2-FourStandardQuestions-7-25-12.doc NIST - ITL - Structured EHR - Part 2 - Supporting Statement	IC Document

IC Title:

NIST, ITL, Electronic Health Record (EHR) Usability Structured Interview - Part 2

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-7-19-12.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
	Requested	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 Interview - Part 2 - Recruitment Poster	NIST-ITL-Structured-EHR-Part2-RecruitmentPoster-7-19-12.doc	07/19/2012
NIST, ITL, Structured EHR Interview - Part 2 - Invitation Email	NIST-ITL-Structured-EHR-Part2-Email-Invitation-7-19-12.doc	07/19/2012
NIST - ITL - Structured EHR - Part 2 - Supporting Statement	NIST-ITL-Structured-EHR-Part-2-FourStandardQuestions-7-25-12.doc	07/25/2012

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