View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	National Electronic Health Records Survey 2016	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	NEHRS 2016	Attachment A - 2016 National Electronic Health Records Survey.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	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.