2012 Pretest NAMCS Patient Record Form (line 10)

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⚠️ Notice: This information collection may be referencing outdated material.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
2012 Pretest NAMCS Patient Record Form (line 10) Form
Att BB - NAMCS 2012 - Patient Record Form CPT Code Prete Att BB NAMCS Patient Record form (NAMCS-30)-CPT Code PRETEST.pdf Form

Information Collection (IC) Details

IC Title:	2012 Pretest NAMCS Patient Record Form (line 10)	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 BB - NAMCS 2012 - Patient Record Form CPT Code Pretest	Att BB NAMCS Patient Record form (NAMCS-30)-CPT Code PRETEST.pdf		Yes	Yes	Fillable Fileable

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: 17	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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	510	510
Annual IC Time Burden (Hours)	119	119
Annual IC Cost Burden (Dollars)	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.