THIS INFORMATION
COLLECTION IS APPROVED FOR PRETEST/DRESS REHEARSAL ONLY UNTIL
FEBRUARY 1992. UPON SUBMISSION OF THE NEXT PACKAGE, OMB REQUESTS A
REPORT ON THE RESULTS OF THE PRETEST AND THE FOLLOWING ADDITIONAL
ISSUES WHICH OMB ASKS THE AGENCY TO CONSIDER: o The size of the
universe of clinics providing care under the supervision of health
care practitioners other than physicians (e.g., nurse midwives) and
the possible inclusion of such clinics in the sample. o Ensure that
comparisons of the data (emergency room visit for drug abuse) can
and will be made to DAWN data, o add question to outpatient
department-patient record that asks whether or not patient's
problems are alcohol- or drug-related (the emergency department
-patient record asks this question). o For both the outpatient and
emergency department patient records, the question on expected
sources of payment should be refined to provide specific
information on levels of co-payment.
Inventory as of this Action
Requested
Previously Approved
02/28/1992
02/28/1992
20,400
0
0
1,601
0
0
0
0
0
DATA COLLECTED FROM HOSPITAL
OUTPATIENT DEPARTMENTS AND EMERGENCY DEPARTMENTS CONCERNING PATIENT
VISITS ARE AGGREGATED TO NATIONAL STATISTICS. THE DATA ARE USED BY
THE PUBLIC AND PRIVATE SECTORS FOR PUBLIC HEALTH PLANNING, MEDICAL
EDUCATION, HEALTH MANPOWER ASSESSMENT, EPIDEMIOLOGIC STUDIES, AND
OTHER MEDICAL CARE UTILIZATION RESEARCH.
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.