National Hospital Ambulatory Medical Care Survey

ICR 201412-0920-013

OMB: 0920-0278

Federal Form Document

Forms and Documents
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Form and Instruction
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Supporting Statement B
2014-12-18
Supporting Statement A
2014-12-18
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
Supplementary Document
2014-12-17
ICR Details
0920-0278 201412-0920-013
Historical Active 201311-0920-002
HHS/CDC 20786
National Hospital Ambulatory Medical Care Survey
Revision of a currently approved collection   No
Regular
Approved without change 02/06/2015
Retrieve Notice of Action (NOA) 12/29/2014
  Inventory as of this Action Requested Previously Approved
02/28/2018 36 Months From Approved 02/28/2015
105,768 0 132,443
4,412 0 7,352
0 0 0

This request is for the revision of an approved data collection (OMB No. 0920-0278), the National Hospital Ambulatory Medical Care Survey (NHAMCS). NCHS requests to continue the survey activities for NHAMCS for 3 years and slightly modify survey activities. NHAMCS is a national survey of patient visits to emergency departments, outpatient departments, and ambulatory surgery locations of general and short-stay hospitals. The revisions included in this request entail making slight modifications to NHAMCS questions.

US Code: 42 USC 306 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  79 FR 49520 08/21/2014
79 FR 77495 12/24/2014
Yes

  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 105,768 132,443 0 -24,896 -1,779 0
Annual Time Burden (Hours) 4,412 7,352 0 -2,495 -445 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Reduction in Burden Hours in this ICR Revision is due to changes to surveys associated with the ICR as well as increased use of Field Representative abstraction of records.

$6,289,206
Yes Part B of Supporting Statement
Yes
Yes
No
Yes
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]

  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.
12/29/2014


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