Fast Healthcare Interoperability Resources (FHIR) and Consumer Directed Exchange Feasiblility Study Questinnaire

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Document Name Document Type
FHIR Feasibility Study Questionannaire 4.10.19.docx Other-FHIR Reasiblility Study Questi
FHIR Survey Participation Tracker 4.10.19.xlsx Other-FHIR Survey Participation Trac
Consumer Directed Exchange Feasibility Study Questionnaire.docx Other- Consumer Directed Exchange Fe
Consumer Directed Exchange Feasibility Study Questionnaire Participant List.pdf Other- Consumer Directed Exchange Fe
Description Fast Healthcare Interoperability Resources (FHIR).docx Description Fast Healthcare Interoperability Resources (FHIR) IC Document
Desription Consumer Directed Exchange Feasibility Study Questionnaire.docx Desription Consumer Directed Exchange Feasibility Study Questionnaire IC Document

Information Collection (IC) Details

IC Title:	Fast Healthcare Interoperability Resources (FHIR) and Consumer Directed Exchange Feasiblility Study Questinnaire	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-FHIR Reasiblility Study Questionnaire	FHIR Feasibility Study Questionannaire 4.10.19.docx	No	Paper Only
Other-FHIR Survey Participation Tracker	FHIR Survey Participation Tracker 4.10.19.xlsx	No	Paper Only
Other- Consumer Directed Exchange Feasibility Study Questionnaire	Consumer Directed Exchange Feasibility Study Questionnaire.docx	No	Paper Only
Other- Consumer Directed Exchange Feasibility Study Questionnaire Participant List	Consumer Directed Exchange Feasibility Study Questionnaire Participant List.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 61	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description Fast Healthcare Interoperability Resources (FHIR)	Description Fast Healthcare Interoperability Resources (FHIR).docx	04/25/2019
Desription Consumer Directed Exchange Feasibility Study Questionnaire	Desription Consumer Directed Exchange Feasibility Study Questionnaire.docx	04/25/2019

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