Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Post-acute and Long-term Care Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Semi-structured Telephone Protocol for EHRs Subject Matter Expert Interviews	Form and Instruction	New	Available
EHRs Subject Matter Expert Interview	Form and Instruction	New	Repair queued
ADSC Services User Questionnaire Items	Form and Instruction	New	Available
ADSC Services User Questionnaire	Form and Instruction	New	Repair queued
RCC Services User Questionnaire Items	Form and Instruction	New	Available
RCC Services User Questionnaire	Form and Instruction	New	Repair queued
Form 0920-0943 Data Retrieval	Form	Removed	Available
Form 0920-0943 Data Retrieval	Form	Removed	Repair queued
NPALS 2022 Adult Day Services Center Questionnaire	Form and Instruction	Modified	Available
ADSC Provider Questionnaire	Form and Instruction	Modified	Repair queued
NPALS 2022 Residential Care Community Questionnaire	Form and Instruction	Modified	Available
RCC Provider Questionnaire	Form and Instruction	Modified	Repair queued
Att I Human Subjects Research Determination .docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att H Services User CATI Confirmation and Prep Letters and emails.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att G Prompting letters and emails.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att F Provider Questionnaire letters.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
2022 NPALS SS B 052522.docx	Supporting Statement B	Uploaded 2022-05-25	Repair queued
Att E-4 Advance Package NCHS Strictly Confidential Brochure.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att E-3 Advance Package Letters of Support.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att E-2 Advance Package Resident and Participant NCHS Data Briefs.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att E-1 Advance Package-NCHS Cover Letter with FAQs.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att D-2 ADSC Question Changes.xlsx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att D-1 RCC Question Changes.xlsx	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att B-1 Sixty-day Notice in Federal Register 01242022.pdf	Supplementary Document	Uploaded 2022-05-25	Repair queued
Att A Public Health Service Act (306ab and 308d).docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
2022 NPALS SS A 052022.docx	Supporting Statement A	Uploaded 2022-05-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
253599	EHRs Subject Matter Expert Interview	Form and Instruction	New	Semi-structured Telephone Protocol for EHRs Subject Matter Expert Interviews
253599	EHRs Subject Matter Expert Interview	Form and Instruction	New
253598	ADSC Services User Questionnaire	Form and Instruction	New	ADSC Services User Questionnaire Items
253598	ADSC Services User Questionnaire	Form and Instruction	New
253597	RCC Services User Questionnaire	Form and Instruction	New	RCC Services User Questionnaire Items
253597	RCC Services User Questionnaire	Form and Instruction	New
242826	Data Retrieval	Form	Removed	Data Retrieval
242826	Data Retrieval	Form	Removed
231011	ADSC Provider Questionnaire	Form and Instruction	Modified	NPALS 2022 Adult Day Services Center Questionnaire
231011	ADSC Provider Questionnaire	Form and Instruction	Modified
231010	RCC Provider Questionnaire	Form and Instruction	Modified	NPALS 2022 Residential Care Community Questionnaire
231010	RCC Provider Questionnaire	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0943	ICR Reference No: 202205-0920-006
Status: Historical Active	Previous ICR Reference No: 202007-0920-018
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0943
Title: Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Post-acute and Long-term Care Study
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/21/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/08/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2025	24 Months From Approved	09/30/2023
Responses	3,850	0	8,978
Time Burden (Hours)	1,932	0	4,311
Cost Burden (Dollars)	110,241	0	0

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Abstract: The goal of this study is to collect data for the residential care community (RCC) and adult day services center (ADSC) survey components of the 6th wave of the National Post-acute and Long-term Care Study (NPALS), formerly known as the National Study of Long-Term Care Providers or NSLTCP. The data to be collected will include the basic characteristics, services, staffing, and practices of RCCs and ADSCs, and the demographics, selected health conditions and health care utilization, physical functioning, and cognitive functioning of RCC residents and ADSC participants. Items on COVID-19 prevalence and experience will be included. This data collection will also include subject matter expert interviews about electronic health record (EHRs) platforms in RCCs and ADSCs.

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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:
	87 FR 3545	01/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 34689	06/07/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
ADSC Provider Questionnaire	None	NPALS 2022 Adult Day Services Center Questionnaire
ADSC Services User Questionnaire	None	ADSC Services User Questionnaire Items
Data Retrieval	0920-0943	Data Retrieval
EHRs Subject Matter Expert Interview	None	Semi-structured Telephone Protocol for EHRs Subject Matter Expert Interviews
RCC Provider Questionnaire	None	NPALS 2022 Residential Care Community Questionnaire
RCC Services User Questionnaire	None	RCC Services User Questionnaire Items

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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	3,850	8,978	0	-5,128	0	0
Annual Time Burden (Hours)	1,932	4,311	0	-2,379	0	0
Annual Cost Burden (Dollars)	110,241	0	0	110,241	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In this Revision, CDC describes: reduced sample sizes for both RCCs and ADSCs; minor changes to the provider questionnaires for RCCs and ADSCs to improve usability; administration of services user questionnaires for both RCCs and ADSCs; discontinuation of the data retrieval telephone calls; and addition of interviews with subject matter experts in EHRs. The overall impact is a reduction in total estimated annualized burden, from 4,311 hours in the 2020 data collection cycle to 1,932 hours for the 2022 data collection cycle (-2,379 annualized burden hours).

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Annual Cost to Federal Government: $969,283

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? Yes

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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: 06/08/2022

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