National Hospital Ambulatory Medical Care Survey

OMB 0920-0278

The National Hospital Ambulatory Medical Care Survey (NHAMCS) data are widely used by all agencies of the Public Health Service and other government, academic, and private research organizations in tracking changes in hospital-based ambulatory health care. These data complement those from NAMCS (OMB No. 0920-0234, Exp. Date 03/31/2019) to provide a complete description of ambulatory health care utilization in the United States. Questions regarding epidemic related changes in care have been added.

The latest form for National Hospital Ambulatory Medical Care Survey expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-22BT Ambulatory Unit Induction Interview 2022 Form and Instruction
Reinterview Study 2021 Form and Instruction
Hospital Induction Interview 2022 Form and Instruction
Reinterview Study 2020 Form and Instruction
Ambulatory Unit Induction Interview 2020 Form and Instruction
Hospital Induction Interview 2020 Form and Instruction
Attachment A - 2022 NHAMCS Hospital Induction Changes.docx Supplementary Document
Attachment B - 2022 NHAMCS Ambulatory Unit Induction Changes.docx Supplementary Document
Attachment C - 2022 ED Patient Record Form (PRF) Changes.docx Supplementary Document
Summary Table of the Questionnaire Changes.docx Supplementary Document
2022 NHAMCS OMB Non-substantive Final 01052022v2.docx Justification for No Material/Nonsubstantive Change
Attachment H2 - 2021 introductory letter 08.20.2020.pdf Supplementary Document
Attachment H1 - 2020 introductory letter.pdf Supplementary Document
Attachment J - Informed Consent flowsheet.docx Supplementary Document
Attachment I - Endorsement letters.docx Supplementary Document
Attachment G2 - Waiver of Informed Consent.docx Supplementary Document
Attachment G1 - IRB Approval letter.pdf Supplementary Document
Attachment F - List of Consultants.docx Supplementary Document
Attachment E - List of Publications.docx Supplementary Document
Attachment D2 - ED PRF sample card (2021).pdf Supplementary Document
Attachment D1 - ED PRF sample card (2020).pdf Supplementary Document
Attachment B - 0920-0278 60-Day FRN (2020-01383).pdf Supplementary Document
Attachment A - Applicable Laws and Regulations.pdf Supplementary Document
NHAMCS SSB_03.24.2020.docx Supporting Statement B
NHAMCS SSA 09.03.2020.docx Supporting Statement A
Ambulatory Unit Induction Interview 2022 Form and Instruction
Reinterview Study 2021 Form and Instruction
Hospital Induction Interview 2022 Form and Instruction
Retrieve Medical Records 2021 Instruction
Reinterview Study 2020 Form and Instruction
Retrieve Medical Records 2020 Instruction
Ambulatory Unit Induction Interview 2020 Form and Instruction
Hospital Induction Interview 2020 Form and Instruction

All Historical Document Collections

202201-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-01-26
202004-0920-006 Approved without change	Revision of a currently approved collection	2020-04-17
201809-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-09-20
201804-0920-001 Approved without change	Reinstatement with change of a previously approved collection	2018-04-20
201510-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-11-02
201412-0920-013 Approved without change	Revision of a currently approved collection	2014-12-29
201311-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-11-05
201210-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-10-17
201203-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-03-26
201110-0920-011 Approved without change	Revision of a currently approved collection	2011-10-26
201106-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-06-10
201106-0920-001 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2011-06-01
201105-0920-007 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2011-05-11
201011-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-11-02
201007-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-07-22
201001-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-01-11
200907-0920-002 Approved without change	Revision of a currently approved collection	2009-07-02
200808-0920-007 Approved without change	Revision of a currently approved collection	2008-08-25
200801-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-01-04
200709-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-09-05
200607-0920-002 Approved without change	Revision of a currently approved collection	2006-07-07
200510-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-10-11
200404-0920-004 Approved with change	Revision of a currently approved collection	2004-04-08
200207-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2002-07-30
200205-0920-005 Approved without change	Revision of a currently approved collection	2002-05-20
200112-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2001-12-27
200011-0920-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2000-11-16
200006-0920-002 Approved without change	Revision of a currently approved collection	2000-06-06
199803-0920-001 Approved without change	Extension without change of a currently approved collection	1998-03-24
199605-0920-006 Approved without change	Revision of a currently approved collection	1996-05-23
199405-0920-004 Approved without change	Revision of a currently approved collection	1994-05-05
199303-0920-002 Approved without change	Revision of a currently approved collection	1993-03-19
199111-0920-001 Approved without change	Revision of a currently approved collection	1991-11-05
199102-0920-005 Approved without change	New collection (Request for a new OMB Control Number)	1991-02-22

OMB Details

Hospital Induction Interview 2020

Federal Enterprise Architecture: Health - Public Health Monitoring

Form none

Hospital induction questionnaire 2020

Fillable Fileable

Form and instruction

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