Information Collection Request

US Core Data for Interoperability New Data Element Submission Form

ICR 202304-0955-001 · OMB 0955-0020 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 USCDI Submission Form Form New Available
Form 1 US Core Data for Interoperability (USCDI) New Data Element Submission Form Form New Repair queued
Form 1 USCDI Submission Form Form Removed Available
Form 1 US Core Data for Interoperability (USCDI) New Data Element Submission Form Form Removed Repair queued
2023-09741_FRN_30_Day_USCDI.pdf Supplementary Document Uploaded 2023-05-11 Repair queued
2022-12958_FRN_60_Day_USCDI.pdf Supplementary Document Uploaded 2023-04-24 Repair queued
0955-ONC Supporting Statement A - USCDI Expansion Submission Process _Final 5.3.2023_wk.docx Supporting Statement A Uploaded 2023-05-03 Repair queued

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2026 36 Months From Approved 07/31/2023
200 0 100
67 0 33
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
US Core Data for Interoperability (USCDI) New Data Element Submission Form 1
US Core Data for Interoperability (USCDI) New Data Element Submission Form 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 100 0 200 -100 0
Annual Time Burden (Hours) 67 33 0 67 -33 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No