Information Collection

National Electronic Health Records Survey 2015

IC 210335 under ICR 201501-0920-023 · OMB 0920-1015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1015 can be found here:

Documents and Forms

Document Name Document Type
National Electronic Health Records Survey 2015 Form and Instruction
2015 NEHRS Attachment A - 2015 National Electronic Health Records Survey.pdf Form and Instruction
Attachment B - Changes to 2015 NEHRS.pdf Changes to 2015 NEHRS IC Document
Nonsubstantive Change_120914.doc Request for Non-Substantive Change IC Document
Attachment C - 2015 NAMCS NEHRS Letters JZ.pdf 2015 NAMCS NEHRS Letters IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Electronic Health Records Survey 2015	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 242k (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	2015 NEHRS	Attachment A - 2015 National Electronic Health Records Survey.pdf	None	Yes	Yes	Fillable Fileable

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: 8,585	Number of Respondents for Small Entity: 8,585

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,585	0	8,585
Annual IC Time Burden (Hours)	4,293	1,431	2,862
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Changes to 2015 NEHRS	Attachment B - Changes to 2015 NEHRS.pdf	01/27/2015
Request for Non-Substantive Change	Nonsubstantive Change_120914.doc	01/27/2015
2015 NAMCS NEHRS Letters	Attachment C - 2015 NAMCS NEHRS Letters JZ.pdf	01/27/2015

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