Information Collection

NCHS National Hospital Ambulatory Medical Care Survey, 2005-2006

IC 37753 under ICR 200510-0920-005 · OMB 0920-0278.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0278 can be found here:

Documents and Forms

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Information Collection (IC) Details

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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.	Available Electronically?	Can Be Submitted Electronically?
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

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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	94,970	7,140	87,830
Annual IC Time Burden (Hours)	10,030	1,070	8,960
Annual IC Cost Burden (Dollars)	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.