OMB
.report
Search
NCHS National Hospital Ambulatory Medical Care Survey, 2005-2006
NCHS National Hospital Ambulatory Medical Care Survey, 2005-2006
OMB: 0920-0278
IC ID: 37753
OMB.report
HHS/CDC
OMB 0920-0278
ICR 200510-0920-005
IC 37753
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0278 can be found here:
2022-01-26 - No material or nonsubstantive change to a currently approved collection
2020-04-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCHS National Hospital Ambulatory Medical Care Survey, 2005-2006
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
101U(CDC-64.150
Yes
Yes
Form
CDC-64.135
Yes
Yes
Form
CDC-64.136
Yes
Yes
Form
101(CDC-64.151)
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
490
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
3 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
94,970
0
7,140
0
0
87,830
Annual IC Time Burden (Hours)
10,030
0
1,070
0
0
8,960
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.