Physician Induction Inverview (NAMCS-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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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

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.