2015 National Electronic Healh Records Survey

The National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Record Survey (NEHRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1015 can be found here:

Documents and Forms

Document Name Document Type
Attachment A - 2015 National Electronic Health Records Survey.pdf Other-WORD
Attachment B - Changes to 2015 NEHRS.pdf Other-WORD
Attachment C - 2014 NAMCS NEHRS Letters.pdf Other-WORD
Nonsubstantive Change_120914.doc Justification for Change IC Document

Information Collection (IC) Details

IC Title:	2015 National Electronic Healh Records Survey	Agency IC Tracking Number:	15JA

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD	Attachment A - 2015 National Electronic Health Records Survey.pdf	Yes	Yes	Fillable Printable
Other-WORD	Attachment B - Changes to 2015 NEHRS.pdf	Yes	Yes	Fillable Printable
Other-WORD	Attachment C - 2014 NAMCS NEHRS Letters.pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Health Resources Utilization Statistics	FR Citation: 49 FR 37693

Number of Respondents: 17,170	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 30 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,170	17,170
Annual IC Time Burden (Hours)	8,586	8,586
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Change	Nonsubstantive Change_120914.doc	01/05/2015

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