National Hospital Discharge Survey

ICR 199511-0920-003

OMB: 0920-0212

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
6662
Migrated
ICR Details
0920-0212 199511-0920-003
Historical Active 199211-0920-001
HHS/CDC
National Hospital Discharge Survey
Extension without change of a currently approved collection   No
Regular
Approved without change 02/23/1996
Retrieve Notice of Action (NOA) 11/29/1995
Approved for use through 3/97 under the condition that NCHS amends the survey's disclosure statement to comply with the new requirements of the Paperwork Reduction Act of 1995. For the public docket, NCHS should submit to OMB the revised survey instrument incorporating this new disclosure statement.
  Inventory as of this Action Requested Previously Approved
03/31/1997 03/31/1997 02/28/1996
56,826 0 95,234
2,521 0 4,438
0 0 0

The National Hospital Discharge Survey provides detailed information on characteristics, diagnoses, and surgical and other procedures for the patients discharged from short-stay non-Federal hospitals in the United States. The information collected is available in written reports, in unpublished form through special tabulations, and on public use tapes and diskettes.

None
None


No

1
IC Title Form No. Form Name
National Hospital Discharge 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 56,826 95,234 0 0 -38,408 0
Annual Time Burden (Hours) 2,521 4,438 0 0 -1,917 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
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.
11/29/1995


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