EHR Vendor

Comprehensive Communication Campaign for HITECH ACT

OMB: 0955-0005

IC ID: 209960

Information Collection (IC) Details

View Information Collection (IC)

EHR Vendor
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0955-0005HQMF Vendor SurveyREV.docx Yes Yes Fillable Printable

Health Illness Prevention

 

100 0
   
Private Sector Businesses or other for-profits
 
   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 100 0 0 0 0 0
Annual IC Time Burden (Hours) 8 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
21305 ID_NTB submission fast-track-PRA-submission-short-form_EHR Vendor Survey final 21305 ID_NTB submission fast-track-PRA-submission-short-form_EHR Vendor Survey final.docx 01/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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