OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2015 National Electronic Healh Records Survey

IC 214484 under ICR 201501-0920-002 · OMB 0920-1015.

Documents and Forms
Document Name
Document Type
Other-WORD
Other-WORD
Other-WORD
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2015 National Electronic Healh Records Survey 15JA
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment A - 2015 National Electronic Health Records Survey.pdf Yes Yes Fillable Printable
Other-WORD Attachment B - Changes to 2015 NEHRS.pdf Yes Yes Fillable Printable
Other-WORD Attachment C - 2014 NAMCS NEHRS Letters.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37693

17,170 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   30 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 17,170 0 17,170 0 0 0
Annual IC Time Burden (Hours) 8,586 0 8,586 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification for Change Nonsubstantive Change_120914.doc 01/05/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.