Provider Induction Interview (2020)

National Ambulatory Medical Care Survey (NAMCS)

Documents and Forms

Document Name Document Type
Form 0920-0234 Provider Induction Interview (2020) Form and Instruction
0920-0234 HC Facility Induction Interview (2020) Att E- 2020 NAMCS-1 CHC Provider.docx Form and Instruction
0920-0234 HC Facility Induction Interview (2020) Att E- 2020 NAMCS-1 CHC Provider.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Provider Induction Interview (2020)	Agency IC Tracking Number:	0920-0234

Is this a Common Form? No		IC Status: Removed

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	0920-0234	HC Facility Induction Interview (2020)	Att E- 2020 NAMCS-1 CHC Provider.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 37697

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-52	52
Annual IC Time Burden (Hours)	-26	26
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.