Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2012 Asthma Supplement (line 6) Removed 0 0 0 Form none
2012 CPT Pretest NAMCS-1 (line 9) Removed 0 0 0 Form none
2012 Pretest NAMCS Patient Record Form (line 10) Removed 0 0 0 Form none
2015 Patient Record Form - Pulling and Refiling New 5000 83 0 Other-Burden Placeholder
NAMCS-1 Physician Induction Interview (Line 1) Removed 0 0 0 Form none
NAMCS-201 CHC Service Delivery Induction New 1780 593 0 Form none
NAMCS-201 Community Health Center Induction Interview (Line 2) Removed 0 0 0 Form none
NAMCS-30 Patient Record Form New 57960 13524 0 Form none
Form none
NAMCS-30 Patient Record form (Line 3) Removed 0 0 0 Form none
National Electronic Health Records Survey (line 7) Removed 0 0 0 Form None
Physician Induction Inverview (NAMCS-1) New 9661 7246 0 Form none
Physician Workflow Survey (line 8) Removed 0 0 0 Form None
Form None
Pulling and re-filing Patient Record form (Line 4) Removed 0 0 0 Instruction
Re-abstraction Study: Pulling & Refiling Medical Records New 231870 3865 0 Other-Burden Placeholder
Re-abstraction Study Removed 0 0 0 Instruction
Total burden requested under this ICR: 306271 25311 0  
To view an IC, click on IC Title