NHIS MEDICAL RECORD EVALUATION (CONCEPT CLEARANCE)

ICR 198809-0920-005

OMB: 0920-0239

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110942
Migrated
ICR Details
0920-0239 198809-0920-005
Historical Active
HHS/CDC
NHIS MEDICAL RECORD EVALUATION (CONCEPT CLEARANCE)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/23/1988
Retrieve Notice of Action (NOA) 09/29/1988
This is a concept clearance only. CDC should develop a methodology for assessing how the HMO setting biases the findings and if such biases would make the study lack in practical utility.
  Inventory as of this Action Requested Previously Approved
12/31/1990 12/31/1990
1 0 0
1 0 0
0 0 0

THE NATIONAL HEALTH INTERVIEW SURVEY, AN ONGOING SURVEY OF THE CIVILIA NON-INSTITUTIONALIZED POPULATION, MONITORS THE NATION'S HEALTH. THIS STUDY WILL EVALUATE PROCEDURES FOR COLLECTING DIAGNOSTIC DATA FROM HOUSEHOLD RESPONDENTS. SURVEY DATA FROM HOUSEHOLD INTERVIEWS WILL BE COMPARED TO DATA FROM MEDICAL RECORDS.

None
None


No

1
IC Title Form No. Form Name
NHIS MEDICAL RECORD EVALUATION (CONCEPT CLEARANCE)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1 0 0 1 0 0
Annual Time Burden (Hours) 1 0 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/29/1988


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