Information Collection

2015 National Electronic Healh Records Survey

IC 214484 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment A - 2015 National Electronic Health Records Survey.pdf	Other-WORD
Attachment B - Changes to 2015 NEHRS.pdf	Other-WORD
Attachment C - 2014 NAMCS NEHRS Letters.pdf	Other-WORD
Nonsubstantive Change_120914.doc Justification for Change	IC Document

IC Title:

2015 National Electronic Healh Records Survey

Agency IC Tracking Number:

15JA

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	Instrument File	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

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: 17,170

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,170	17,170
Annual IC Time Burden (Hours)	8,586	8,586
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.