OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201501-0920-023 · OMB 0920-1015 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
National Electronic Health Records Survey 2015 Form and Instruction Modified Available
Nonsubstantive Change_120914.doc Justification for No Material/Nonsubstantive Change Uploaded 2015-01-27 Available
SS-B_NAMCS-NEHRS_final 041614.doc Supporting Statement B Uploaded 2014-04-17 Available
Att H - IRB letter.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att G - consultants for 2014-16 NAMCS NEHRS.doc.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att F - Federal Register Public Comments.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att E - Federal register.pdf Supplementary Document Uploaded 2014-02-05 Available
Att A - Applicable Laws and Regulations.pdf Supplementary Document Uploaded 2014-02-05 Available
Att I - 2014 NEHRS letters.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att B - changes to 2014 EHR survey.pdf Supplementary Document Uploaded 2014-02-05 Available
Att I - 2014 NEHRS letters.pdf Supplementary Document Uploaded 2014-02-05 Available
Att B - changes to 2014 EHR survey.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att B - changes to 2014 EHR survey.pdf Supplementary Document Uploaded 2014-02-05 Available
Att I - 2014 NEHRS letters.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
Att B - changes to 2014 EHR survey.pdf Supplementary Document Uploaded 2014-02-05 Repair queued
SS-A_NAMCS-NEHRS_final 041614.doc Supporting Statement A Uploaded 2014-04-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211318 2014 EHR Survey (Expanded) Other-WORD Unchanged
210337 National Electronic Health Records Survey 2014 (Follow-up) Other-PDF Unchanged
210335 National Electronic Health Records Survey 2015 Form and Instruction Modified
ICR Details
0920-1015 201501-0920-023
Historical Active 201402-0920-008
HHS/CDC 21404
The National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Record Survey (NEHRS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/29/2015
Retrieve Notice of Action (NOA) 01/28/2015
  Inventory as of this Action Requested Previously Approved
04/30/2017 04/30/2017 04/30/2017
17,170 0 17,170
8,586 0 7,155
0 0 0
The National Center for Health Statistics (NCHS) requests approval to make non-substantive changes to for the 2015 data collection to remain consistent with meaningful use regulations. The National Electronic Health Records Survey (NEHRS) was a supplement under the component of the ongoing National Ambulatory Medical Care Survey (NAMCS) from 2008-2013 (known as the Electronic Medical Records Supplement (OMB No. 0920-0234)). In 2014, we request and received this independent approval for the purpose of conducting survey activities.
US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  78 FR 52769 08/26/2013
79 FR 7459 02/07/2014
Yes
  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 17,170 17,170 0 0 0 0
Annual Time Burden (Hours) 8,586 7,155 0 1,431 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission is a Non-substantive Change Request to NAMCS NEHRS (0920-1015).The new questions on the 2015 NAMCS NEHRS are designed to be responsive to information needed in the context of the meaningful use rule promulgated in Medicare and Medicaid Programs; Electronic Health Record Incentive Program - Stage 2, 42 CFR §§ 412-413-495 (2012).
$1,043,887
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/28/2015