Developmental Studies to Improve the National Health Care Surveys

Forms and Documents

Document Name	Status
Developmental Studies to Improve the National Health Care Surveys Form and Instruction	New
Interviews for the National Study of Long-term Care Providers Gaps Project Form and Instruction	New
Form 0920-1030 National Study of Long-Term Care Providers Feasibility Project to Collect Person-Level Data from Residential Care Communities and Adult Day Services Centers Form and Instruction	New
DHCS Generic Supporting Statement A rev 072114.docx Supporting Statement A	2014-07-21
DHCS generic Att. B 60-Day FRN 043014 (2).pdf Supplementary Document	2014-07-21
DHCS generic Att. A 060614.docx Supplementary Document	2014-07-21
DHCS Generic Supporting Statement B rev 071514.docx Supporting Statement B	2014-07-21

IC Document Collections

IC ID	Document Title	Status
224408	Developmental Studies to Improve the National Health Care Surveys Form and Instruction	New
222776	Interviews for the National Study of Long-term Care Providers Gaps Project Form and Instruction	New
220406	National Study of Long-Term Care Providers Feasibility Project to Collect Person-Level Data from Residential Care Communities and Adult Day Services Centers Form and Instruction	New

ICR Details

OMB Control No: 0920-1030	ICR Reference No: 201407-0920-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 14VS
Title: Developmental Studies to Improve the National Health Care Surveys
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/02/2014
	Date Received in OIRA: 07/29/2014
Terms of Clearance: Approved consistent with the statement in the ICR that states "The information collected through this generic Information Collection Request will not be used to make generalizable statements about the population of interest or to inform public policy; however, methodological findings may be reported." As with OMB number 0920-0222, for each individual collection, CDC will submit to OMB a mini-supporting statement that includes the elements of Parts A and B that are specific to the GenIC. OMB will strive to provide feedback on the individual collections within ten working days, whenever possible. Standard remuneration of respondents for congantive testing is $40.00.. Higher remunerations may be requested with justification for difficult recruitments, focus groups, etc.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved
Responses	20,502	0	0
Time Burden (Hours)	21,255	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This request is for a new, generic clearance to conduct developmental studies on survey design and data collection activities that are part of the National Health Care Surveys. The surveys are conducted by the Division of Health Care Statistics within NCHS. This clearance covers new survey research to evaluate and improve upon survey design and operations, and examine the feasibility and address challenges that may arise with future expansions of the National Health Care Surveys.

---

Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 24435	04/30/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 42796	07/23/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
National Study of Long-Term Care Providers Feasibility Project to Collect Person-Level Data from Residential Care Communities and Adult Day Services Centers	0920-1030, 0920-1030	Attachment C Second call script-sampling interview and probing ,   Attachment C Second call script-sampling interview and probing
Interviews for the National Study of Long-term Care Providers Gaps Project	none, none	Scheduling script ,   Scheduling script B
Developmental Studies to Improve the National Health Care Surveys	NA, NA, NA	Contact Information Verification ,   Telephone Scheduling Script ,   Telephone Interview - IDD Exploratory Work

---

ICR Summary 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	20,502	0	0	20,502	0	0
Annual Time Burden (Hours)	21,255	0	0	21,255	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new generic collection request.

---

Annual Cost to Federal Government: $100,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 07/29/2014

---