The National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Record Survey (NEHRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
National Electronic Health Records Survey 2015	Form and Instruction	Modified	Available
Nonsubstantive Change_120914.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2015-01-27	Available
SS-B_NAMCS-NEHRS_final 041614.doc	Supporting Statement B	Uploaded 2014-04-17	Available
Att H - IRB letter.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att G - consultants for 2014-16 NAMCS NEHRS.doc.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att F - Federal Register Public Comments.pdf	Supplementary Document	Uploaded 2014-02-05	Repair queued
Att E - Federal register.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att A - Applicable Laws and Regulations.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att I - 2014 NEHRS letters.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att B - changes to 2014 EHR survey.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att I - 2014 NEHRS letters.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att B - changes to 2014 EHR survey.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att B - changes to 2014 EHR survey.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att I - 2014 NEHRS letters.pdf	Supplementary Document	Uploaded 2014-02-05	Available
Att B - changes to 2014 EHR survey.pdf	Supplementary Document	Uploaded 2014-02-05	Available
SS-A_NAMCS-NEHRS_final 041614.doc	Supporting Statement A	Uploaded 2014-04-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211318	2014 EHR Survey (Expanded)	Other-WORD	Unchanged
210337	National Electronic Health Records Survey 2014 (Follow-up)	Other-PDF	Unchanged
210335	National Electronic Health Records Survey 2015	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1015	ICR Reference No: 201501-0920-023
Status: Historical Active	Previous ICR Reference No: 201402-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 21404
Title: The National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Record Survey (NEHRS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2015
	Date Received in OIRA: 01/28/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	04/30/2017	04/30/2017
Responses	17,170	0	17,170
Time Burden (Hours)	8,586	0	7,155
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for Health Statistics (NCHS) requests approval to make non-substantive changes to for the 2015 data collection to remain consistent with meaningful use regulations. The National Electronic Health Records Survey (NEHRS) was a supplement under the component of the ongoing National Ambulatory Medical Care Survey (NAMCS) from 2008-2013 (known as the Electronic Medical Records Supplement (OMB No. 0920-0234)). In 2014, we request and received this independent approval for the purpose of conducting survey activities.

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Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52769	08/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7459	02/07/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
2014 EHR Survey (Expanded)
National Electronic Health Records Survey 2015	None	2015 NEHRS
National Electronic Health Records Survey 2014 (Follow-up)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,170	17,170	0	0	0	0
Annual Time Burden (Hours)	8,586	7,155	0	1,431	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Submission is a Non-substantive Change Request to NAMCS NEHRS (0920-1015).The new questions on the 2015 NAMCS NEHRS are designed to be responsive to information needed in the context of the meaningful use rule promulgated in Medicare and Medicaid Programs; Electronic Health Record Incentive Program - Stage 2, 42 CFR §§ 412-413-495 (2012).

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Annual Cost to Federal Government: $1,043,887

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/28/2015

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