NAMCS-1 Physician Induction Interview (Line 1)

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⚠️ Notice: This information collection may be referencing outdated material.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
NAMCS-1 Physician Induction Interview (Line 1) Form
NAMCS-1 Induction Interview Attachment C1.pdf Form
Attachemnt A3.docx A3 - Changes to Physician Workforce Questions IC Document
Attachemnt A2.docx A2 - Changes to EHR Questions IC Document
Attachment A1.docx A1 - Changes to Physician Induction Interview IC Document
Attachment C2.docx C2 - Confidentiality Statement IC Document

Information Collection (IC) Details

IC Title:	NAMCS-1 Physician Induction Interview (Line 1)	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	NAMCS-1 Induction Interview	Attachment C1.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: 09-20-0167 Health Resources Utilization Statistics	FR Citation: 49 FR 37693

Number of Respondents: 17,034	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	17,034	17,034
Annual IC Time Burden (Hours)	9,937	9,937
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
A3 - Changes to Physician Workforce Questions	Attachemnt A3.docx	09/04/2013
A2 - Changes to EHR Questions	Attachemnt A2.docx	09/04/2013
A1 - Changes to Physician Induction Interview	Attachment A1.docx	09/04/2013
C2 - Confidentiality Statement	Attachment C2.docx	09/04/2013

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