Information Collection

Physician Induction Inverview (NAMCS-1)

IC 213881 under ICR 201411-0920-004 · OMB 0920-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Physician Induction Inverview (NAMCS-1)	Form
NAMCS 1 Att C1 - 2014 NAMCS-1.pdf	Form
Att C2 - 2015 NAMCS-1 Changes.docx Changes	IC Document
Att C3 - 2015 NAMCS 1 ListQ.DOCX List Q	IC Document

IC Title:

Physician Induction Inverview (NAMCS-1)

Agency IC Tracking Number:

Is this a Common Form? No

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
Form	none	NAMCS 1	Att C1 - 2014 NAMCS-1.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20--0167 Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 9,661

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,661	9,661
Annual IC Time Burden (Hours)	7,246	7,246
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Changes	Att C2 - 2015 NAMCS-1 Changes.docx	12/12/2014
List Q	Att C3 - 2015 NAMCS 1 ListQ.DOCX	12/12/2014

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