Information Collection

Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity

IC 271792 under ICR 202406-0925-001 · OMB 0925-0648.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity	Form
Form 2 Survey Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity	Form
1 Survey RCMI Webinar Survey.docx	Form
2 Survey RCMI Workshop Survey.docx	Form
Sub-Study - RCMI - 0925-0648-Template-exp.7.27-PRA.docx Template	IC Document
RCMI Webinar Survey Invite Email.docx Email Correspondence	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				Yes	Yes	Fillable Fileable
Form	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		10/28/2024
Email Correspondence		10/28/2024

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

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