OMB is providing
clearance only for the pretest of the redesign. NCHS must submit a
change package for approval for the main study. The terms of
approval include a commitment by NCHS to use this updated assurance
of confidentiality on each pretest form: Assurance of
Confidentiality - All information which would permit identification
of any individual, a practice, or an establishment will be held
confidential, will be used for statistical purposes only by NCHS
staff, contractors, and agents only when required and with
necessary controls, and will not be disclosed or released to other
persons without the consent of the individual or the establishment
in accordance with section 308(d) of the Public Health Service Act
(42 USC 242m) and the Confidential Information Protection and
Statistical Efficiency Act (PL-107-347).
Inventory as of this Action
Requested
Previously Approved
10/31/2011
36 Months From Approved
10/31/2008
33,755
0
47,525
5,591
0
2,408
0
0
0
This request is for a revision of the
National Hospital Discharge Survey. It includes a reduction in the
current sample size (2008 & 2009), a pretest of a redesigned
NHDS (2008), and field work for the first 2 years of the redesigned
NHDS (2010-2011). The pretest focuses on the design and testing of
the operational mechanism to recruit a new panel of hospitals and
collect a broader range of data elements. For the redesigned NHDS,
efforts to minimize burden include: information to come from the
Uniform Bill 04, it is a sample survey, hospitals will be asked to
submit 10 abstracts per month, and field agents will input data the
CAPI system. There are hospital level and discharge level data
collection activities in the redesigned NHDS.
US Code:
42
USC 242k Name of Law: Public Health Service Act
An increase in burden hours is
primarily due to the concurrent redesign of the NHDS. This includes
a pretest of the redesign, and the return to a manual data
collection for sampling discharges (obtaining the UB-04 and payment
data by hospital staff). A more complex sampling design and data
items from more locations will increase the burden.
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.
NHDS Att V Sampling Manual for the Pretest new.doc
Attachment S NCHS ERB approval letter for Pilot Study.pdf
NHDS - Medical abstract form