Information Collection

NIST, ITL, Electronic Health Record (EHR) - Part 3 - Direct Observations of EHR Users

IC 203403 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⚠️ Notice: This information collection may be referencing outdated material.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
0693-0043-NIST-ITL-EHR-Part3-SurveyInstrument-7-19-12.docx	Other-Usability Instrument
0693-0043-NIST-EHR-Observations-Part3-EmailInvitation-7-19-12.doc NIST, ITL, EHR Observation - Part 3 - Email Invitation	IC Document
0693-0043-NIST-EHR-Observations-Part3-RecruitmentPoster-7-19-12.doc NIST, ITL, EHR Observations - Part 3 - Recruitment Poster	IC Document
0693-0043-NIST-ITL-EHR-Observations-Part-3-SupportingStatement-7-25-12.doc NIST, ITL, EHR Observation - Part 3 - Supporting Statement	IC Document

IC Title:

NIST, ITL, Electronic Health Record (EHR) - Part 3 - Direct Observations of EHR Users

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-Usability Instrument			0693-0043-NIST-ITL-EHR-Part3-SurveyInstrument-7-19-12.docx		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)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIST, ITL, EHR Observation - Part 3 - Email Invitation	0693-0043-NIST-EHR-Observations-Part3-EmailInvitation-7-19-12.doc	07/20/2012
NIST, ITL, EHR Observations - Part 3 - Recruitment Poster	0693-0043-NIST-EHR-Observations-Part3-RecruitmentPoster-7-19-12.doc	07/20/2012
NIST, ITL, EHR Observation - Part 3 - Supporting Statement	0693-0043-NIST-ITL-EHR-Observations-Part-3-SupportingStatement-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.