Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NATIONAL ELECTRONIC HEALTH RECORDS SURVEY (NEHRS) Modified 10302 5151 0 Form and Instruction n/a 2018 NEHRS Questionnaire
Form and Instruction n/a CATI Option for the 2018 NEHRS Questionnaire
NEHRS Supplement - Electronic Respondents Unchanged 858 286 0 Form and Instruction NA NEHRS Supplement - Electronic Respondents
NEHRS Supplement - Non-Electronic Respondents Unchanged 859 286 0 Form and Instruction NA NEHRS Supplement - Non-Electronic Respondents
NEHRS Supplement - NonRespondents Unchanged 1717 572 0 Form and Instruction NA NEHRS Supplement - Non-Respondents
Total burden requested under this ICR: 13736 6295 0  
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