Information Collection

Re-abstraction Study: Pulling & Refiling Medical Records

IC 213884 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Att I - 2015 Reabstraction Burden.docx Other-Burden Placeholder
Att E - 2014 Reabstraction PRF.docx 2014 Re-abstraction Study Screenshots IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Re-abstraction Study: Pulling & Refiling Medical Records	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
Other-Burden Placeholder			Att I - 2015 Reabstraction Burden.docx		No		Paper Only

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 37697

Number of Respondents: 7,729	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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	231,870	231,870
Annual IC Time Burden (Hours)	3,865	3,865
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2014 Re-abstraction Study Screenshots	Att E - 2014 Reabstraction PRF.docx	11/13/2014

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