National Home and Hospice Care Survey

ICR 199712-0920-001

OMB: 0920-0298

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
6743
Migrated
ICR Details
0920-0298 199712-0920-001
Historical Active 199707-0920-001
HHS/CDC
National Home and Hospice Care Survey
Revision of a currently approved collection   No
Regular
Approved without change 03/13/1998
Retrieve Notice of Action (NOA) 12/24/1997
Approved for use through 3/2001 under the condition that no later than 4/98 NCHS submits to OMB a detailed explanation of the decision process that will be used to select the abbreviated vs. comprehensive NHHCS for any given year. This description should also articulate how NCHS will prioritize between provider surveys within set resources. OMB must agree to NCHS decision process before the next NHHCS may be fielded.
  Inventory as of this Action Requested Previously Approved
03/31/2001 03/31/2001 03/31/1998
20,250 0 1,200
5,625 0 200
0 0 0

The National Home and Hospice Care Survey will be conducted by personal interviews among a sample of hospices and home health agencies about the patients they serve. The survey will provide estimates of the characteristics of people being served by hospices and home health agencies.

None
None


No

1
IC Title Form No. Form Name
National Home and Hospice Care 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 20,250 1,200 0 19,050 0 0
Annual Time Burden (Hours) 5,625 200 0 5,425 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/24/1997


© 2024 OMB.report | Privacy Policy