PRETEST OF ROUND 1 FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES-3)

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IC ID	Collection	Type	Status	Form
112165	PRETEST OF ROUND 1 FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES-3)		Migrated

ICR Details

OMB Control No: 0935-0096	ICR Reference No: 199412-0935-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/AHRQ	Agency Tracking No:
Title: PRETEST OF ROUND 1 FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES-3)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/02/1995
	Date Received in OIRA: 12/02/1994
Terms of Clearance: OMB approves a pretest for NMES III through 1/96. Prior to fielding this particular CAPI instrument, however, OMB requests that PHS discusses how they will be coordinating existing health data collection activities to improve the quality and timeliness of health data for Executive Branch policy development. Such discussions will necessitate a series of briefings/meetings with OMB staff over the next few weeks. The first briefing should take place no later than 3/9/95 and at a minimum should outline the following: 1) the extent to which NMES III is coordinated with NHIS, NEHIS, and other PHS instruments for the purposes of enhancing data and updating utilization and expenditure data more frequently than every ten years; 2) in general, how the design differences between the NMES, NEHIS and other instruments are being minimized through the use of algorithms and other means and 3) similarities and differences between the questions included in the NEHIS, NHIS, NMES and other PHS instruments. As a result of these discussions, OMB may request that the NMES CAPI instrument be revised to maximize its coordination with NEHIS, NHIS, and other instruments. PHS also should understand that OMB may recommend future amendments to the other instruments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1996	01/31/1996
Responses	222	0	0
Time Burden (Hours)	446	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: THIS IS THE PRETEST OF ROUND 1 OF A HOUSEHOLD SURVEY THAT WILL COLLECT MEDICAL USE, MEDICAL EXPENDITURE AND HEALTH INSURNACE COVERAGE IN SUBSEQUENT ROUNDS.

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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
PRETEST OF ROUND 1 FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES-3)

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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	222	0	0	222	0	0
Annual Time Burden (Hours)	446	0	0	446	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? Yes Part B of Supporting Statement

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: 12/02/1994

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