Information Collection

Physician Workflow Survey (line 7)

IC 196404 under ICR 201102-0920-016 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Physician Workflow Survey (line 7) Form
Physician Workflow Survey - EHR/no EHR Supplement 2 PWS_EHRv7 _postCT_SRA.docx Form
Physician Workflow Survey - EHR/no EHR Supplement 2 PWS_noEHRv7_PostCT (2)_SRA.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Physician Workflow Survey (line 7)	Agency IC Tracking Number:

Is this a Common Form? No		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
Form	none	Physician Workflow Survey - EHR/no EHR Supplement 2	PWS_EHRv7 _postCT_SRA.docx		No		Paper Only
Form	none	Physician Workflow Survey - EHR/no EHR Supplement 2	PWS_noEHRv7_PostCT (2)_SRA.docx		No		Paper Only

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: 2,982	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,982	2,982
Annual IC Time Burden (Hours)	994	994
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.