NIST ITL Electronic Health Record (EHR) Survey - Part 1

NIST Generic Clearance for Usability Data Collections

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0043 can be found here:

Documents and Forms

Document Name Document Type
NIST-ITL-EHR-Part1-WebSurveyQuestions-7-19-12.doc Other-Survey
NIST-ITL-EHR-Part1-EmailInvitation-7-19-12.docx NIST - ITL - EHR Usability Study - Part 1 - Email Invitation IC Document
NIST-ITL-EHR-Part-1-FourStandardSurveyQuestions-7-25-12.doc NIST - ITL - EHR Usability Study - Part 1 - Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	NIST ITL Electronic Health Record (EHR) Survey - Part 1	Agency IC Tracking Number:

IC Status: New

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
Other-Survey			NIST-ITL-EHR-Part1-WebSurveyQuestions-7-19-12.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NIST - ITL - EHR Usability Study - Part 1 - Email Invitation	NIST-ITL-EHR-Part1-EmailInvitation-7-19-12.docx	07/19/2012
NIST - ITL - EHR Usability Study - Part 1 - Supporting Statement	NIST-ITL-EHR-Part-1-FourStandardSurveyQuestions-7-25-12.doc	07/25/2012

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