Physicians' Experience of Ethical Dilemmas and Resource Allocation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Physicians' Experience of Ethical Dilemmas and Resource Allocation	Form and Instruction	Modified	Available
Response to OMB 102807.doc	Supplementary Document	Uploaded 2007-11-02	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2007-07-24	Available
Physicians.doc	Supporting Statement A	Uploaded 2007-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7452	Physicians' Experience of Ethical Dilemmas and Resource Allocation	Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0528	ICR Reference No: 200707-0925-002
Status: Historical Active	Previous ICR Reference No: 200401-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Physicians' Experience of Ethical Dilemmas and Resource Allocation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/07/2007
	Date Received in OIRA: 07/30/2007
Terms of Clearance: Approved consistent with 10-28-07 NIH memo. Per that memo, when publishing results from this study, NIH will clearly disclose the response rates achieved with this sample and, if appropriate, will disclose as study limitations the low response rate, possible non-response bias, and insufficient power. To the extent possible, NIH will also analyze for possible non-response bias. To the extent that this study will not be able to tease apart "bedside-rationing" due to scarce resources from bedside-rationing" due to the incentives/management mechanisms imposed by the health plans physicians contract with, this will also be disclosed as a study limitation. NIH also agrees to add questions regarding how physicians will respond to situations where an intervention improves quality of life without impact on life expectancy, where the main benefit of an intervention is convenience to the patient, and where the main benefit of an intervention is patient convenience which thereby improves patient compliance. Finally, since it is unclear whether NIH has the statutory authority to provide assurances of confidentiality, NIH will not use the term "confidential" in any of the materials associated with this ICR and will instead inform respondents that their responses will "be kept private to the extent permitted by law."

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved	11/30/2007
Responses	500	0	500
Time Burden (Hours)	184	0	184
Cost Burden (Dollars)	0	0	0

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Abstract: This one time mailed survey of physicians is intended to help medical professionals and policy makers to better understand the current state of practice in health care resource allocation.

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Authorizing Statute(s): US Code: 42 USC 241A Name of Law: Research
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 27817	05/17/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 41511	07/30/2007
Did the Agency receive public comments on this ICR? Yes

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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
Physicians' Experience of Ethical Dilemmas and Resource Allocation	1	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	500	500	0	0	0	0
Annual Time Burden (Hours)	184	184	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

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: $12,164

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: 07/30/2007

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