EVALUATION OF PARTICIPATION IN NATIONAL UTILIZATION SURVEYS

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Forms and supporting documents for this ICR

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Information collection document groups

IC ID	Collection	Type	Status	Form
112277	EVALUATION OF PARTICIPATION IN NATIONAL UTILIZATION SURVEYS		Migrated

ICR Details

OMB Control No: 0937-0064	ICR Reference No: 198110-0937-001
Status: Historical Inactive	Previous ICR Reference No: 197909-0937-003
Agency/Subagency: HHS/OASH	Agency Tracking No:
Title: EVALUATION OF PARTICIPATION IN NATIONAL UTILIZATION SURVEYS
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved	Conclusion Date: 12/10/1981
	Date Received in OIRA: 10/13/1981
Terms of Clearance: Not approved. Because of possible, if not probable changes in policy officials in the target institutions, the likelihood of obtaining meaningful information about the reasons for participation/non-participation is doubtful. In addition, even if the deciding official could be located, it is doubtful that they would recall reasons for refusing to participate. For the purpose of "gaining and maintaining high levels of support from health facilities selected into the samples for utilization surveys conducted by NCHS," such an evaluation can be incorporated into any current or future surveys of hospitals at far less cost to the Federal Government.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		06/30/1981
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: DATA WILL BE COLLECTED BY TWO SMALL-SCALE SURVEYS, ONE OF NURSING HOMES AND ONE OF HOSPITALS TO EXAMINE THE OBSTACLES TO GAINING AND MAINTAINING HIGH LEVELS OF PARTICIPATION FROM HEALTH CARE FACILITIES SELECTED INTO UTILIZATION SURVEYS BY NCHS. THE RESULTS OF THE STUDY WILL BE USED TO DEVELP RECOMMENDATIONS FOR IMPROVING THE RESPONSE RAT AND THE QUALITY OF DATA COLLECTED IN ONGOING AND FUTURE SURVEYS.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
EVALUATION OF PARTICIPATION IN NATIONAL UTILIZATION SURVEYS

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/13/1981

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