AIDS COST AND SERVICES UTILIZATION SURVEY

ICR 199010-0937-001

OMB: 0937-0190

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
112441
Migrated
ICR Details
0937-0190 199010-0937-001
Historical Active 198812-0937-001
HHS/OASH
AIDS COST AND SERVICES UTILIZATION SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 01/15/1991
Retrieve Notice of Action (NOA) 10/18/1990
This information collection is approved for use until April 30, 1992. OMB has serious concerns about the willingness of both patients and providers to participate in this survey. When OMB reviewed and approved the preliminary concept plan for this survey in Nov. 1988, it included a pretest phase. OMB strongly believes that this is an important phase of this project, particularly given our limited experience with surveys of this scope, the cost of the survey, and the importance of identifying problems as early as possible. HHS has determined that the cost and time associated with pretest would prevent HHS from holding to its original schedule. Because of this significant departure, OMB approves the survey for use for 15 months with a request for a resubmission of a request for approval at the end of that time to include a status report on sampling and response rates. This timeframe will provide for the enrollment of patients, 2 or 3 waves of patient interviews, the first wave of provider data and the bias study. These steps should provide sufficient information to make a determination of the likely successful execution of this study and address any inadequacies in the methodology. These steps will also ensure an early assessment of the study's viability in the absence of a pretest while maintaining the schedule of the full study if it proves valid.
  Inventory as of this Action Requested Previously Approved
04/30/1992 04/30/1992 02/28/1991
3,012 0 1
6,980 0 1
0 0 0

THIS SURVEY WILL OBTAIN HEALTH RESOURCES UTILIZATION, COST AND INSURAN INFORMATION FROM PATIENTS WITH AIDS AND OTHER HIV-RELATED ILLNESSES ACROSS THE COUNTRY. DATA WILL BE USED TO ESTIMATE TOTAL RESOURCES USE BY PATIENTS AND VARIATIONS IN PATTERNS OF USE IN ORDER TO GUIDE POLICYMAKERS IN DECISIONS REGARDING ALLOCATION OF RESOURCES.

None
None


No

1
IC Title Form No. Form Name
AIDS COST AND SERVICES UTILIZATION SURVEY

  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 3,012 1 0 0 3,011 0
Annual Time Burden (Hours) 6,980 1 0 0 6,979 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
10/18/1990


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