Information Collection

National Electronic Health Records Survey 2016

IC 210335 under ICR 201601-0920-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
National Electronic Health Records Survey 2016	Form and Instruction
NEHRS 2016 Attachment A - 2016 National Electronic Health Records Survey.pdf	Form and Instruction
Attachment B - Changes to 2015 NEHRS.pdf Changes to 2015 NEHRS	IC Document
Nonsubstantive Change_120914.doc Request for Non-Substantive Change	IC Document
Attachment C - 2015 NAMCS NEHRS Letters JZ.pdf 2015 NAMCS NEHRS Letters	IC Document

IC Title:

National Electronic Health Records Survey 2016

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	none	NEHRS 2016	Attachment A - 2016 National Electronic Health Records Survey.pdf		Yes	Yes	Fillable Fileable

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: 8,585

Number of Respondents for Small Entity: 8,585

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
	Approved	Previously Approved
Annual Number of Responses for this IC	8,585	8,585
Annual IC Time Burden (Hours)	4,293	4,293
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Changes to 2015 NEHRS	Attachment B - Changes to 2015 NEHRS.pdf	01/27/2015
Request for Non-Substantive Change	Nonsubstantive Change_120914.doc	01/27/2015
2015 NAMCS NEHRS Letters	Attachment C - 2015 NAMCS NEHRS Letters JZ.pdf	01/27/2015

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