Information Collection

National Electronic Health Records Survey 2014 (Follow-up)

IC 210337 under ICR 201501-0920-002 · OMB 0920-1015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att D_NEHRS Extension 020314.pdf	Other-PDF
Att B - changes to 2014 EHR survey.pdf Att B - changes to 2014 EHR survey	IC Document
Att I - 2014 NEHRS letters.pdf Att I - 2014 NEHRS letters	IC Document

IC Title:

National Electronic Health Records Survey 2014 (Follow-up)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 242k (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-PDF			Att D_NEHRS Extension 020314.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 6,868

Number of Respondents for Small Entity: 6,868

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 33 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,868	6,868
Annual IC Time Burden (Hours)	3,434	3,434
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att B - changes to 2014 EHR survey	Att B - changes to 2014 EHR survey.pdf	02/05/2014
Att I - 2014 NEHRS letters	Att I - 2014 NEHRS letters.pdf	02/05/2014

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