National Hospital Ambulatory Medical Care Survey

ICR 199605-0920-006

OMB: 0920-0278

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
6726 Migrated
ICR Details
0920-0278 199605-0920-006
Historical Active 199405-0920-004
HHS/CDC
National Hospital Ambulatory Medical Care Survey
Revision of a currently approved collection   No
Regular
Approved without change 07/19/1996
Retrieve Notice of Action (NOA) 05/23/1996
Approved for use through 7/99 under the following conditions: 1) as with the NHIS, no later than 7/96 NCHS provides to OMB a crosswalk between the Injury sections on the patient abstract sheet and the ICD-10 and NOMESCO classification systems; 2) no later than 12/96, NCHS provides OMB an analysis of the Injury sections as they relate to the forthcoming third revised edition of the NOMESCO classification that will be published in the Fall of 1996 as a Trial Version of the International Classification of External Causes of Injury in collaboration with the World Health Organization; 3) NCHS immediately incorporates all disclosure statements mandated pursuant to the Paperwork Reduction Act of 1995 and implementing regulations. The revised forms/ instructions incorporating these disclosures must be provided to OMB; and 4) prior to the next submission for OMB review, NCHS briefs OMB on the status of its efforts to include its series of provider-based surveys in the Department's Data Consolidation initiative. Finally, OMB encourages NCHS to continue its analytic contributions to policymaking throughout the Department (in particular providing HCFA its survey expertise and analysis based on provider surveys.) OMB continues to evaluate the practical utility of these provider-based surveys in terms of their impact on the rigor and quality of HHS policy development.
  Inventory as of this Action Requested Previously Approved
07/31/1999 07/31/1999 07/31/1997
26,088 0 91,840
7,069 0 8,572
0 0 0

Data collected from hospital outpatient departments and emergency departments concerning patient visits are agregated to national statistics. The data are used by the public and parivate sectors for public health planning, medical education, health manpower assessment, epidemiologic studies and other medical utilization research.

None
None


No

1
IC Title Form No. Form Name
National Hospital Ambulatory Medical Care Survey 101, 101U

  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 26,088 91,840 0 0 -65,752 0
Annual Time Burden (Hours) 7,069 8,572 0 0 -1,503 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.
05/23/1996


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