Information Collection

NAMCS EMR/EHR Mail Survey (Line 6)

IC 189597 under ICR 201010-0920-006 · OMB 0920-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0234 can be found here:

Documents and Forms

Document Name Document Type
Form 6 NAMCS EMR/EHR Mail Survey (Line 6) Form and Instruction
6 NAMCS EMR/EHR Mail Survey (Line 6) NAMCS 10-12 OMB ATT T.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NAMCS EMR/EHR Mail Survey (Line 6)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	6	NAMCS EMR/EHR Mail Survey (Line 6)	NAMCS 10-12 OMB ATT T.pdf		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0167 Health Resources Utilization	FR Citation: 49 FR 37693

Number of Respondents: 5,604	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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,604	5,604
Annual IC Time Burden (Hours)	1,868	1,868
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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