1994 NATIONAL EMPLOYER HEALTH INSURANCE SURVEY

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
111078	1994 NATIONAL EMPLOYER HEALTH INSURANCE SURVEY		Migrated

ICR Details

OMB Control No: 0920-0341	ICR Reference No: 199403-0920-001
Status: Historical Active	Previous ICR Reference No: 199311-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: 1994 NATIONAL EMPLOYER HEALTH INSURANCE SURVEY
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/1994
	Date Received in OIRA: 03/11/1994
Terms of Clearance: OMB approves the NEHIS as amended in this submission through 12/94. OMB approves this submission under the condition that: 1) NCHS and HCF recognize than an adequate pilot was not performed and certain methodological and logistical problems may cause the data to have litt utility. This is particularly true for purposes of state-level data f given establishment size cells. Small size establishments historicall have been a problem. Certain new questions also may have unacceptable response rates; 2) Any reporting or use of the data should clearly sta limitations that arise due to non-response; 3) If the combined non- response at the survey and item level in a given cell falls below 60 % the data should be considered insufficient for analysis; and 4) Any future NCHS or HCFA employer-based insurance surveys should thoroughly address unresolved shortcomings encountered in the fielding of this survey and the analysis of its results.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1994	12/31/1994	03/31/1994
Responses	51,000	0	250
Time Burden (Hours)	38,250	0	188
Cost Burden (Dollars)	0	0	0

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Abstract: THE NATIONAL EMPLOYER HEALTH INSURANCE SURVEY WILL PROVIDE HEALTH INSURANCE DATA FROM 51,000 EMPLOYERS (1,000 PER STATE AND D.C.) TO PRODUCE STATE-LEVEL ESTIMATES OF PRIVATE HEALTH INSURANCE FOR THE NATIONAL HEALTH ACCOUNTS, MONITORING THE STATUS OF HEALTH INSURANCE PRIOR TO THE IMPLEMENTATION OF HEALTH CARE REFORM, AND DETAILED NATIONAL LEVEL ANALYSIS OF PRIVATE HEALTH INSURANCE.

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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
1994 NATIONAL EMPLOYER HEALTH INSURANCE SURVEY

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ICR Summary of Burden

table that charts list of burden

	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	51,000	250	0	50,750	0	0
Annual Time Burden (Hours)	38,250	188	0	38,062	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

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: 03/11/1994

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