Set-up Fee Questionnaire (2023-2025)

National Ambulatory Medical Care Survey (NAMCS)

OMB: 0920-0234

IC ID: 256557

Information Collection (IC) Details

View Information Collection (IC)

Set-up Fee Questionnaire (2023-2025) 0920-0234
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0234 Attachment J_Set-up Fee Questionnaire Attachment J_Set-up Fee Questionnaire.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

200 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 200 0 167 33 0 0
Annual IC Time Burden (Hours) 50 0 42 8 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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