National Electronic Health Records Survey (NEHRS)

Forms and Documents

Document Name	Status
Form 0920-1015 NEHRS Form and Instruction	New
NEHRS Supplement - NonRespondents Form and Instruction	Removed
NEHRS Supplement - Non-Electronic Respondents Form and Instruction	Removed
NEHRS Supplement - Electronic Respondents Form and Instruction	Removed
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS) Form and Instruction	Unchanged
SS-A 2020 NEHRS 121619.docx Supporting Statement A	2019-12-17
Att_C1_-_2019_Instrument[1].pdf Supplementary Document	2019-11-12
Att_H_-_Flyer[2].pdf Supplementary Document	2019-11-12
Att_F_-_ERB_Approval_Letter[1].pdf Supplementary Document	2019-11-12
Att_E_–_List_of_Consultants[1].pdf Supplementary Document	2019-11-12
Att_D_-_Changes_to_to_the_Instrument_102319[1].pdf Supplementary Document	2019-11-12
Att_C3_-_Proposed_2020_Instrument[1].pdf Supplementary Document	2019-11-12
Att_B2_-Public_Comment_and_Response_102819[1].pdf Supplementary Document	2019-11-12
Att_B1_-_60-Day_FRN_8-8-2019_(with_HEADER)[1].pdf Supplementary Document	2019-11-12
Att_A_-_Applicable_Laws_and_Regulations[2].pdf Supplementary Document	2019-11-12
Att_G_-_Letters[1].pdf Supplementary Document	2019-11-12
Att A - Changes to 2017 NEHRS 061118.docx Supplementary Document	2018-06-14
Nonsubstantive Change 061218.doc Justification for No Material/Nonsubstantive Change	2018-06-14
Att D - 2018 NEHRS Letters 061118.docx Supplementary Document	2018-06-14
Att L Consultants.docx Supplementary Document	2017-06-09
Att M - IRB Approval Letter.docx Supplementary Document	2017-06-09
Att K3-Supp Phone Script (Non-Resp)- nonresp.docx Supplementary Document	2017-07-14
Att K2 - Supp Phone Script - nonhie.docx Supplementary Document	2017-07-14
Att K1 - Supp Phone Script - hie.docx Supplementary Document	2017-07-14
Att J - 2017 NEHRS Phone Script.docx Supplementary Document	2017-06-09
Att I2 - QuickStats.pdf Supplementary Document	2017-06-09
Att I1 - NCHS Data brief.pdf Supplementary Document	2017-06-09
Att H2 - Supp Letters - non-resp.docx Supplementary Document	2017-07-14
Att H1 - Supp Letters - resp.docx Supplementary Document	2017-07-14
Att G- 2017 NEHRS Letters.docx Supplementary Document	2017-07-14
Att D - Proposed Changes to the NEHRS.pdf Supplementary Document	2017-06-09
Att B2 - Federal Register Public Comment.docx Supplementary Document	2017-06-09
Att B1 - 60-day Federal Register Notice.pdf Supplementary Document	2017-06-09
Att A - Applicable Laws and Regulations.pdf Supplementary Document	2017-06-09
SS-B_2020_102819[1].docx Supporting Statement B	2019-11-12
Attachment B - Changes to 2016 NEHRS.pdf Supplementary Document	2016-01-13
Attachment C - 2016 NEHRS Letters.pdf Supplementary Document	2016-01-13
Nonsubstantive Change 11192015.doc Supplementary Document	2016-01-13
Nonsubstantive Change_120914.doc Justification for No Material/Nonsubstantive Change	2015-01-27

IC Document Collections

IC ID	Document Title	Status
238511	NEHRS Form and Instruction	New
227142	NEHRS Supplement - NonRespondents Form and Instruction	Removed
227141	NEHRS Supplement - Non-Electronic Respondents Form and Instruction	Removed
227140	NEHRS Supplement - Electronic Respondents Form and Instruction	Removed
227139	NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS) Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1015	ICR Reference No: 201911-0920-005
Status: Historical Active	Previous ICR Reference No: 201806-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1015
Title: National Electronic Health Records Survey (NEHRS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/23/2019
	Date Received in OIRA: 12/02/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	07/31/2020
Responses	20,604	0	13,736
Time Burden (Hours)	10,302	0	6,295
Cost Burden (Dollars)	0	0	0

---

Abstract: The National Center for Health Statistics (NCHS) requests approval for a revision to the National Electronic Health Records Survey (NEHRS). The purpose of this study is to collect information on office-based physicians’ adoption and use of EHR systems, practice information, patient engagement, controlled substances prescribing practices, use of HIE, and the documentation and burden associated with medical record systems (which include both paper-based and EHR systems). The requested changes include the removal of former supplemental surveys and prior cybersecurity language, as well as, the streamlining of information within previously approved letters. The annualized burden has been reduced from 6,295 hours to 5,151 hours.

---

Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 38986	08/08/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 65393	11/27/2019
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS)	n/a, n/a	2018 NEHRS Questionnaire ,   CATI Option for the 2018 NEHRS Questionnaire
NEHRS Supplement - NonRespondents	NA	NEHRS Supplement - Non-Respondents
NEHRS Supplement - Electronic Respondents	NA	NEHRS Supplement - Electronic Respondents
NEHRS Supplement - Non-Electronic Respondents	NA	NEHRS Supplement - Non-Electronic Respondents
NEHRS	0920-1015	NEHRS

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20,604	13,736	0	10,302	-3,434	0
Annual Time Burden (Hours)	10,302	6,295	0	5,151	-1,144	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision of a previously approved ICR with a decrease of 1,144 hours to the annual burden.

---

Annual Cost to Federal Government: $839,981

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/02/2019

---