National Ambulatory Medical Care Survey (NAMCS)

OMB 0920-0234

The goal of NAMCS is to assess the health of the US population through patient use of physician offices and community health centers and to monitor the characteristics of physician practices. This request is to continue survey activities for 2019, 2020, & 2021; revisions include discontinue prevention & treatment of sexually transmitted infections (STIs) & HIV (STD/PrEP) prevention questions, culturally & linguistically appropriate service questions, & alcohol & substance abuse screening & brief intervention questions; modify questions for clarification and to keep with current medical practice & terminology; update how race/ethnicity are asked on NAMCS induction forms; follow the DHHS guidance on data collection standards for race/ethnicity for self-identification; increase the sample size for survey years 2020 & 2021;discontinue reabstraction of patient visits; conduct reinterview study for 2019-2021. The June 2020 non-substantive change request is to add questions about changes in practices that might have been spurred by the COVID-19 pandemic. response, including use of telemedicine.

The latest form for National Ambulatory Medical Care Survey (NAMCS) expires 2022-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0234 Set-up Fee Questionnaire (2023-2025) Form and Instruction
Form 0920-0234 Prepare and transmit EHR for Visit Data (quarterly) (2023-2025) Form and Instruction
Form 0920-0234 Prepare and transmit EHR for Visit Data (quarterly) (2022) Form and Instruction
Form 0920-0234 Contact Tracing Form and Instruction
Form 0920-0234 Advance Practice ACPI Form and Instruction
Form 0920-0234 Contact Tracing Form and Instruction
Form 0920-0234 ACPI Form and Instruction
Form 0920-0234 Set-up Fee Questionnaire Form and Instruction
Form 0920-0234 Reinterview Study (2021-2023) Form and Instruction
Form 0920-0234 Prepare and transmit EHR for Visit Data (quarterly) (2022) Form and Instruction
Form 0920-0234 HC Facility Interview 2022 Form and Instruction
Form 0920-0234 PFI (2023- 2025) Form and Instruction
Form 0920-0234 Pulling, re-filing medical record forms (FR abstracts) (2021-2023) Form and Instruction
Form 0920-0234 Physician Induction Interview (2021-2023) Form and Instruction
Form 0920-0234 Reinterview Study - Traditional Physician and CHC Staff Form
Form 0920-0234 HC Facility Interview (2023-2025) Form and Instruction
Form 0920-2034 Pulling and Refiling Medical Record Forms EHR Onboarding) (2021-2023) Form and Instruction
Form 0920-0234 Pulling, re-filing medical record forms (FR abstracts) (2020) Form
Form 0920-0234 Provider Induction Interview (2020) Form and Instruction
Form 0920-0234 Physician Induction Interview (2020) Form and Instruction
Attachment P_2021 NAMCS Endorsing Organizations.docx Supplementary Document
Attachment N2_NAMCS Provider Introductory Letters.docx Supplementary Document
Attachment N1_NAMCS HC Outreach Letters.pdf Supplementary Document
Attachment M_NAMCS ERB Approval Letter.pdf Supplementary Document
Attachment L_Consultants for NAMCS_2.0.docx Supplementary Document
Attachment K_BSC NAMCS Workgroup Meeting Summary.docx Supplementary Document
Attachment H_EHR Implementation guide templates.pdf Supplementary Document
Attachment G_EHR Implementation guide.pdf Supplementary Document
Attachment F_Electronic Health Record (EHR) Variable List.xlsx Supplementary Document
Attachment A_Authorizing Legislative.pdf Supplementary Document
Att M3-2022&2023 NAMCS Advance Letters_07.08.2021.pdf Supplementary Document
Att N- 2020 NAMCS Endorsing Organizations.pdf Supplementary Document
Att M2- 2021 NAMCS Advance Letters.pdf Supplementary Document
Att M1- 2020 NAMCS Advance Letters.pdf Supplementary Document
Att L- 2020 NAMCS ERB Continuation Letter.pdf Supplementary Document
Att K- 2021-2023 Consultants.docx Supplementary Document
Att J- EHR Implementation Guide Templates.pdf Supplementary Document
Att I- EHR Implementation Guide.pdf Supplementary Document
Att H- EHR Variable List.xlsx Supplementary Document
Att G2- 2021 NAMCS PRF.pdf Supplementary Document
Att G1- 2020 NAMCS PRF.pdf Supplementary Document
Att D- 2020 BSC NAMCS Workgroup Meeting Summary.docx Supplementary Document
Att C3- 2020 Draft FR Incentive Script.docx Supplementary Document
Att B- 60 Day Notice.docx Supplementary Document
Att A- Authorizing Legislation 012519.pdf Supplementary Document
NAMCS SSB_2023-2025_09082022.docx Supporting Statement B
NAMCS SSA_2023-2025_09082022.docx Supporting Statement A
Set-up Fee Questionnaire (2023-2025) Form and Instruction
Prepare and transmit EHR for Visit Data (quarterly) (2023-2025) Form and Instruction
Prepare and transmit EHR for Visit Data (quarterly) (2022) Form and Instruction
Contact Tracing Form and Instruction
Advance Practice ACPI Form and Instruction
Contact Tracing Form and Instruction
ACPI Form and Instruction
Set-up Fee Questionnaire Form and Instruction
Reinterview Study (2021-2023) Form and Instruction
Prepare and transmit EHR for Visit Data (quarterly) (2022) Form and Instruction
HC Facility Interview 2022 Form and Instruction
PFI (2023- 2025) Form and Instruction
Pulling, re-filing medical record forms (FR abstracts) (2021-2023) Form and Instruction
Physician Induction Interview (2021-2023) Form and Instruction
Reinterview Study - Traditional Physician and CHC Staff Form
HC Facility Interview (2023-2025) Form and Instruction
Pulling and Refiling Medical Record Forms EHR Onboarding) (2021-2023) Form and Instruction
Pulling, re-filing medical record forms (FR abstracts) (2020) Form
Provider Induction Interview (2020) Form and Instruction
Physician Induction Interview (2020) Form and Instruction

All Historical Document Collections

202210-0920-012 Approved without change	Revision of a currently approved collection	2022-10-21
202105-0920-006 Approved without change	Revision of a currently approved collection	2021-06-01
202007-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-07-01
201902-0920-021 Approved with change	Revision of a currently approved collection	2019-03-20
201702-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-02-16
201602-0920-006 Approved without change	Revision of a currently approved collection	2016-02-11
201411-0920-004 Approved without change	Revision of a currently approved collection	2014-11-20
201309-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-09-10
201211-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-11-01
201111-0920-001 Approved without change	Revision of a currently approved collection	2011-11-08
201102-0920-016 Approved without change	Revision of a currently approved collection	2011-02-25
201010-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-10-15
201002-0920-004 Approved without change	Revision of a currently approved collection	2010-02-04
200906-0920-008 Approved without change	Revision of a currently approved collection	2009-06-16
200905-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-05-29
200901-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-01-16
200801-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-01-04
200709-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-09-05
200607-0920-004 Approved without change	Revision of a currently approved collection	2006-07-13
200510-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-10-11
200404-0920-002 Approved with change	Revision of a currently approved collection	2004-04-07
200309-0920-004 Approved without change	Extension without change of a currently approved collection	2003-09-26
200303-0920-004 Approved without change	Revision of a currently approved collection	2003-03-21
200302-0920-008 Withdrawn and continue	Revision of a currently approved collection	2003-02-28
200210-0920-001 Approved without change	Revision of a currently approved collection	2002-10-01
200206-0920-004 Withdrawn and continue	Revision of a currently approved collection	2002-06-07
200011-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2000-11-16
200006-0920-006 Approved without change	Revision of a currently approved collection	2000-06-21
199803-0920-002 Approved without change	Revision of a currently approved collection	1998-03-24
199605-0920-005 Approved without change	Revision of a currently approved collection	1996-05-23
199403-0920-006 Approved without change	Revision of a currently approved collection	1994-03-21
199204-0920-008 Approved without change	Revision of a currently approved collection	1992-04-23
199009-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-09-19
199004-0920-005 Approved without change	Revision of a currently approved collection	1990-04-23
198905-0920-008 Approved without change	Extension without change of a currently approved collection	1989-05-26
198805-0920-004 Approved without change	New collection (Request for a new OMB Control Number)	1988-05-31

OMB Details

2018 Physician Induction Inverview (NAMCS-1)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none

2018Traditional Physician Induction Sample Card

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.