Information Collection

Fast Healthcare Interoperability Resources (FHIR) and Consumer Directed Exchange Feasiblility Study Questinnaire

IC 235830 under ICR 201909-0960-006 · OMB 0960-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FHIR Feasibility Study Questionannaire 4.10.19.docx	Other-FHIR Reasiblility Study Questi
FHIR Survey Participation Tracker 4.10.19.xlsx	Other-FHIR Survey Participation Trac
Consumer Directed Exchange Feasibility Study Questionnaire.docx	Other- Consumer Directed Exchange Fe
Consumer Directed Exchange Feasibility Study Questionnaire Participant List.pdf	Other- Consumer Directed Exchange Fe
Description Fast Healthcare Interoperability Resources (FHIR).docx Description Fast Healthcare Interoperability Resources (FHIR)	IC Document
Desription Consumer Directed Exchange Feasibility Study Questionnaire.docx Desription Consumer Directed Exchange Feasibility Study Questionnaire	IC Document

IC Title:

Fast Healthcare Interoperability Resources (FHIR) and Consumer Directed Exchange Feasiblility Study Questinnaire

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-FHIR Reasiblility Study Questionnaire	FHIR Feasibility Study Questionannaire 4.10.19.docx	No	Paper Only
Other-FHIR Survey Participation Tracker	FHIR Survey Participation Tracker 4.10.19.xlsx	No	Paper Only
Other- Consumer Directed Exchange Feasibility Study Questionnaire	Consumer Directed Exchange Feasibility Study Questionnaire.docx	No	Paper Only
Other- Consumer Directed Exchange Feasibility Study Questionnaire Participant List	Consumer Directed Exchange Feasibility Study Questionnaire Participant List.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 61

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description Fast Healthcare Interoperability Resources (FHIR)	Description Fast Healthcare Interoperability Resources (FHIR).docx	04/25/2019
Desription Consumer Directed Exchange Feasibility Study Questionnaire	Desription Consumer Directed Exchange Feasibility Study Questionnaire.docx	04/25/2019

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