Induction Interview - Community Health Center Providers

National Ambulatory Medical Care Survey (NAMCS)

OMB: 0920-0234

IC ID: 235132

Information Collection (IC) Details

View Information Collection (IC)

Induction Interview - Community Health Center Providers
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none 2018 CHC Provider Induction Sample Card Att C5-2018 Induction Sample Card CHC Prov.pdf Yes Yes Fillable Fileable
Form and Instruction none 2019 CDC Provider Questions Att C4-2019 NAMCS-1 List of all Proposed Questions for CHC Provider.docx Yes Yes Fillable Fileable
Instruction Att C6-2019 Induction Sample Card CHC Provider.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20--0167 Health Resources Utilization Statistics  49 FR 37697

348 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -348 0 0 348
Annual IC Time Burden (Hours) 0 0 -174 0 0 174
Annual IC Cost Burden (Dollars) 0 0 -15,267 0 0 15,267

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