Developmental Studies to Improve the National Health Care Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1030 Frame Development for the Residential Care Component of the National Post-Acute and Long-Term Care Study	Form	New	Available
Form 0920-1030 Hospital-Based Victim Services Frame Development Project	Form and Instruction	New	Available
Frame Development for the Residential Care Component of the National Study of Long-Term Care Providers	Form and Instruction	New	Available
Att A 01032017.docx	Supplementary Document	Uploaded 2017-03-08	Available
SSA 021017.docx	Supporting Statement A	Uploaded 2017-03-08	Available
SSB 021017.docx	Supporting Statement B	Uploaded 2017-03-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237021	Frame Development for the Residential Care Component of the National Post-Acute and Long-Term Care Study	Form	New
235734	Hospital-Based Victim Services Frame Development Project	Form and Instruction	New
226827	Frame Development for the Residential Care Component of the National Study of Long-Term Care Providers	Form and Instruction	New

ICR Details

OMB Control No: 0920-1030	ICR Reference No: 201703-0920-003
Status: Historical Active	Previous ICR Reference No: 201407-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 14VS
Title: Developmental Studies to Improve the National Health Care Surveys
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/07/2017
	Date Received in OIRA: 03/08/2017
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 cognitive testing is $40.00.. Higher remunerations may be requested with justification for difficult recruitment, focus groups, etc.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved	10/31/2017
Responses	20,502	0	20,502
Time Burden (Hours)	21,255	0	21,255
Cost Burden (Dollars)	0	0	0

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Abstract: The NCHS, CDC, conducts the National Health Care Surveys, a family of nationally representative surveys of encounters and health care providers in inpatient, outpatient, and long-term care settings. This information collection request (ICR) is for the extension of a generic clearance to conduct developmental studies to improve this family of surveys.

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

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:
	81 FR 86715	12/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12965	03/08/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Frame Development for the Residential Care Component of the National Study of Long-Term Care Providers	N/A, N/A, N/A	Semi-Structured Telephone Protocol ,   Contact Information Verification ,   Electronic File Development
Frame Development for the Residential Care Component of the National Post-Acute and Long-Term Care Study	0920-1030, 0920-1030, 0920-1030	Contact Information Verification ,   Telephone Protocol ,   Elecvtronic File Development
Hospital-Based Victim Services Frame Development Project	0920-1030	Telephone Script

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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	20,502	20,502	0	0	0	0
Annual Time Burden (Hours)	21,255	21,255	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: $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

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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: 03/08/2017

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