OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

National Hospital Ambulatory Medical Care Survey

OMB 0920-0278 ยท HHS/CDC.

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 is listed under ICR 202004-0920-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-22BT Ambulatory Unit Induction Interview 2022Form and Instruction
Reinterview Study 2021Form and Instruction
Hospital Induction Interview 2022Form and Instruction
Reinterview Study 2020Form and Instruction
Ambulatory Unit Induction Interview 2020Form and Instruction
Hospital Induction Interview 2020Form 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.docxSupporting Statement B
NHAMCS SSA 09.03.2020.docxSupporting 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

Historical document collections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201106-0920-001 No material or nonsubstantive change to a currently approved collection 2011-06-01 Withdrawn and continue
201105-0920-007 No material or nonsubstantive change to a currently approved collection 2011-05-11 Withdrawn and continue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

OMB Details

Hospital Induction Interview 2020

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form noneHospital induction questionnaire 2020Fillable FileableForm and instruction

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