Information Collection Request

National Hospital Discharge Survey

ICR 200808-0920-008 · OMB 0920-0212 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
NHDS Att V Sampling Manual for the Pretest new.doc Supplementary Document Uploaded 2008-10-06 Available
Revised NHDS Supporting Statement Part B 10 02 08.doc Supporting Statement B Uploaded 2008-10-06 Available
Attachment S NCHS ERB approval letter for Pilot Study.pdf Supplementary Document Uploaded 2008-07-24 Available
Attachment Q Estimated RSEs.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment M2 FAQ 2010 & 2011 .doc Supplementary Document Uploaded 2008-07-24 Available
Attachment M1 Revised FAQ Pretest 10 02 08 .doc Supplementary Document Uploaded 2008-10-06 Available
NHDS Att. J 10 2 08 .doc Supplementary Document Uploaded 2008-10-06 Repair queued
Attachment H2 Induction Letter NHDS 2010.doc Supplementary Document Uploaded 2008-07-24 Available
NHDS Att H1Induction Letter NHDS Pretest 10 01 08.doc Supplementary Document Uploaded 2008-10-06 Available
Attachment F 2005-07 ERB approval .doc Supplementary Document Uploaded 2008-07-24 Available
Attachment E RTI Data Security Plan.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment D Consults on Redesign.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment C NHDS 2008 Fed Reg.pdf Supplementary Document Uploaded 2008-07-24 Available
Attachment B Executive Summary of Feasibility Study.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment A Legislative Authority.pdf Supplementary Document Uploaded 2008-07-24 Available
Attachment P cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment P National Survey PATIENT ABSTRACT 6-27-08.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment L cover with burden.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment L PATIENT ABSTRACT June 25 08.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G 6 Cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G 5 Cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G 4 HDS cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G3 cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G 2 Cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G1 cover.doc Supplementary Document Uploaded 2008-07-24 Available
Revised HDS Supporting Statement Part A 10 02 08.doc Supporting Statement A Uploaded 2008-10-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6666 NHDS - Medical abstract form Other-Medical Abstract Form Modified
186294 NHDS - 2010 & 2011 Verify Sampling and Reabstract Other-2010 & 2011 Verify Sample and Reabstraction New
186293 NHDS - 2010 & 2011 Sample listing sheet Other-2010 & 2011 Sample listing sheet New
186292 NHDS - 2010 & 2011 Facility Questionnaire Other-Facility Questionnaire New
186291 MHDS - 2010 & 2011 Survey Presentation to Hospitals Other-2010 & 2011 Survey Presentation to Hospitals New
186290 NHDS - Pretest Debrief Hospital Staff Guide Other-Pretest Debrief Hospital Staff Guide New
186289 NHDS - Pretest Verify Sampling and Reabstract Other-Pretest Verify Sampling and Reabstract New
186288 NHDS - Pretest Sample Listing Sheet Other-Pretest Sample Listing Sheet New
186287 NHDS - Pretest Facility Questionnaire Other-Pretest Facililty Questionnaire New
186286 NHDS - Pretest Survey Presentation Other-Survey Presentation for Pretest New
186285 NHDS - Hospital Interview Questionnaire Other-Hospital Interview Questionnaire New
186284 NHDS - Hospital In-house Tape or Printout Transmittal Notice Other-Attachment G5 - Hospital In-house Tape or Printout Transmi New
186283 NHDS - Alternate Procedure Hospitals Locating Medical Records Manual Other-Attachment G4 - Hospital Manual New
186282 NHDS - Primary Procedures Hospital Transmittal Notice Other-Primary Procedures Hospitals Transmittal Notice New
186281 NHDS - Primary Procedure Hospitals Sample Listing Sheet Other-Primary Procedures Hospitals Sampling Listing Sheet New

ICR Details

Reginfo record details
table that charts list comparision
  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





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 33,755 47,525 0 -13,770 0 0
Annual Time Burden (Hours) 5,591 2,408 0 3,183 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No