National Electronic Health Record Survey (NEHRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NEHRS Supplement - NonRespondents	Form and Instruction	Unchanged	Available
NEHRS Supplement - Non-Electronic Respondents	Form and Instruction	Unchanged	Available
NEHRS Supplement - Electronic Respondents	Form and Instruction	Unchanged	Available
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS)	Form and Instruction	Unchanged	Repair queued
Att D - 2018 NEHRS Letters 112917.docx	Supplementary Document	Uploaded 2017-12-20	Available
Att C - 2018 NEHRS CATI Script 112917.docx	Supplementary Document	Uploaded 2017-12-20	Available
Att B - 2018 NEHRS Questionnaire 112917.pdf	Supplementary Document	Uploaded 2017-12-20	Available
Att A - Changes to 2017 NEHRS 121917.docx	Supplementary Document	Uploaded 2017-12-20	Repair queued
Nonsubstantive Change 121917.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2017-12-20	Available
Att L Consultants.docx	Supplementary Document	Uploaded 2017-06-09	Available
Att M - IRB Approval Letter.docx	Supplementary Document	Uploaded 2017-06-09	Available
Att K3-Supp Phone Script (Non-Resp)- nonresp.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att K2 - Supp Phone Script - nonhie.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att K1 - Supp Phone Script - hie.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att J - 2017 NEHRS Phone Script.docx	Supplementary Document	Uploaded 2017-06-09	Available
Att I2 - QuickStats.pdf	Supplementary Document	Uploaded 2017-06-09	Available
Att I1 - NCHS Data brief.pdf	Supplementary Document	Uploaded 2017-06-09	Available
Att H2 - Supp Letters - non-resp.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att H1 - Supp Letters - resp.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att G- 2017 NEHRS Letters.docx	Supplementary Document	Uploaded 2017-07-14	Available
Att D - Proposed Changes to the NEHRS.pdf	Supplementary Document	Uploaded 2017-06-09	Available
Att B2 - Federal Register Public Comment.docx	Supplementary Document	Uploaded 2017-06-09	Available
Att B1 - 60-day Federal Register Notice.pdf	Supplementary Document	Uploaded 2017-06-09	Available
Att A - Applicable Laws and Regulations.pdf	Supplementary Document	Uploaded 2017-06-09	Available
SS-B NEHRS 14July2017.doc	Supporting Statement B	Uploaded 2017-07-14	Available
SS-A NEHRS 14July2017.doc	Supporting Statement A	Uploaded 2017-07-14	Available
Attachment B - Changes to 2016 NEHRS.pdf	Supplementary Document	Uploaded 2016-01-13	Available
Attachment C - 2016 NEHRS Letters.pdf	Supplementary Document	Uploaded 2016-01-13	Available
Nonsubstantive Change 11192015.doc	Supplementary Document	Uploaded 2016-01-13	Available
Nonsubstantive Change_120914.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2015-01-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227142	NEHRS Supplement - NonRespondents	Form and Instruction	Unchanged
227141	NEHRS Supplement - Non-Electronic Respondents	Form and Instruction	Unchanged
227140	NEHRS Supplement - Electronic Respondents	Form and Instruction	Unchanged
227139	NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1015	ICR Reference No: 201712-0920-011
Status: Historical Inactive	Previous ICR Reference No: 201705-0920-013
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1015 18JX
Title: 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: Withdrawn and continue	Conclusion Date: 03/09/2018
	Date Received in OIRA: 12/21/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	07/31/2020	07/31/2020
Responses	13,736	0	13,736
Time Burden (Hours)	6,295	0	6,295
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for Health Statistics (NCHS) requests approval for a Reinstatement with Change for the National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Records Survey (NEHRS). The name of the collection is being changed from NAMCS-NEHRS to NEHRS and data will be collected directly from a sample of office-based physician respondents through a self-administered web questionnaire, self-administered paper questionnaire or telephone interview. NEHRS will collect information on physicians’ electronic health record (EHR) systems and other physician and practice characteristics. The survey content has expanded to include more detailed questions on health information exchange, unintended consequences of using EHRs, and advanced payment models associated with using EHRs.

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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:
	81 FR 64155	09/19/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 27256	06/14/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS)	NA	2017 NEHRS
NEHRS Supplement - Non-Electronic Respondents	NA	NEHRS Supplement - Non-Electronic Respondents
NEHRS Supplement - NonRespondents	NA	NEHRS Supplement - Non-Respondents
NEHRS Supplement - Electronic Respondents	NA	NEHRS Supplement - Electronic Respondents

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/21/2017

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