Att EE 2012 NAMCS Re-abstraction Study Pulling and Re-filing

Att EE 2012 NAMCS Re-abstraction Study Pulling and Re-filing.pdf

National Ambulatory Medical Care Survey

Att EE 2012 NAMCS Re-abstraction Study Pulling and Re-filing

OMB: 0920-0234

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Attachment EE: 2012 NAMCS Re-abstraction Study: Pulling and Re-filing Medical Records

Assurance of confidentiality-All information which would permit identification of an individual, a
practice, or an establishment will be held confidential; will be used for statistical purposes only by NCHS
staff, contractors, and agents only when required and with necessary controls; and will not be disclosed or
released to other persons without the consent of the individual or the establishment in accordance with
section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information
Protection and Statistical Efficiency Act (PL-107-347).
Notice – Public reporting burden for this collection of information is estimated to average 1 minute per
response, including time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Any agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
it displays a current valid OMB control number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing burden to: CDC/ATSDR
Information Collection Review Office, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA
(0920-0234).

Ten medical records will be pulled from the files of 500 physicians/CHC providers who
participated in the NAMCS re-abstraction study. The average burden for these study
respondents is 1 minute for each form, which includes simply pulling and re-filing
the medical records. Each office submits forms on 10 patients, which makes the total
burden for each office approximately 10 minutes.


File Typeapplication/pdf
File TitleATTACHMENT F
AuthorDonald Cherry
File Modified2011-11-30
File Created2011-09-28

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