National Electronic Health Records Survey (nehrs)

National Electronic Health Records Survey (NEHRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1015 can be found here:

Documents and Forms

Document Name Document Type
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS) Form and Instruction
2018 NEHRS Questionnaire Att B - 2018 NEHRS Questionnaire 061418.pdf Form and Instruction
CATI Option for the 2018 NEHRS Questionnaire Att C - 2018 NEHRS CATI Script 061418.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	2018 NEHRS Questionnaire	Att B - 2018 NEHRS Questionnaire 061418.pdf		No		Paper Only
Form and Instruction	n/a	CATI Option for the 2018 NEHRS Questionnaire	Att C - 2018 NEHRS CATI Script 061418.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0167 Health Resources Utilization Statistics	FR Citation: 49 FR 37693

Number of Respondents: 10,302	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,302	10,302
Annual IC Time Burden (Hours)	5,151	5,151
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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