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Federal forms, ICRs, and supporting documents

Information Collection

Military Health System Electronic Health Record End User Survey

IC 270645 under ICR 202505-0704-008 · OMB 0704-0553.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Military Health System Electronic Health Record End User Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey Military Health System Electronic Health Record End User Survey_9.3.2024.docx Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

1,450 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,450 0 0 0 0 1,450
Annual IC Time Burden (Hours) 242 0 0 0 0 242
Annual IC Cost Burden (Dollars) 7,608 0 0 0 0 7,608

Title Document Date Uploaded
One Pager Justification 0704-0553_OnePager_EHR End User Survey_9.3.2024.docx 09/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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