National Hospital Care Survey

Forms and Documents

Document Name	Status
Form 0920-0212 Att P_Initial Hospital Intake Questionnaire Form and Instruction	Modified
Form 0920-0212 Att S_Quarterly Transmission of EHR Data Form and Instruction	Modified
Form 0920-0212 Att C_Annual Hospital Interview Form and Instruction	Modified
Form 0920-0212 Att R_Monthly Transmission of UB-04 Data Form and Instruction	Modified
Form 0920-0212 Att Q_Recruitment Survey Presentation Form and Instruction	Modified
Att E - NHCS Overview Flyer.pdf Supplementary Document	2024-07-26
Att W - SORN Privacy Act System Notice 09-20-0164.pdf Supplementary Document	2024-07-26
Att V - SORN Privacy Act System Notice 09-20-0167.pdf Supplementary Document	2024-07-26
Att U - ERB Memo - Protocol Determination Verification Status for NHCS.pdf Supplementary Document	2024-07-26
Att T - NHCS Confidentiality Letter.docx Supplementary Document	2024-07-26
Att O - ERB Approval Notice for NHCS.pdf Supplementary Document	2024-07-26
Att L - NHCS Infographic Flyer (Southwest).pdf Supplementary Document	2024-07-26
Att K - NHCS Infographic Flyer (West).pdf Supplementary Document	2024-07-26
Att J - NHCS Infographic Flyer (East).pdf Supplementary Document	2024-07-26
Att I - NHCS Infographic Flyer (South).pdf Supplementary Document	2024-07-26
Att H - NHCS Infographic Flyer (Rural).pdf Supplementary Document	2024-07-26
Att G - NHCS Infographic Flyer (Childrens).pdf Supplementary Document	2024-07-26
Att F - NHCS Infographic Flyer (General).pdf Supplementary Document	2024-07-26
Att D - NHCS Introductory Letter.pdf Supplementary Document	2024-07-26
Att N - EHR Variable List.xlsx Supplementary Document	2024-07-26
Att M - Currently Approved UB04 Data Elements.docx Supplementary Document	2024-07-26
Att D - NHCS Introductory Letter.pdf Supplementary Document	2024-07-26
Att B - Published 60-Day FRN NHCS 5.7.24.pdf Supplementary Document	2024-07-26
Att A - Legislative Authority to Collect Data on Hospital Utilization.rtf Supplementary Document	2024-07-26
0920-0212 Statement B 07.09.24.docx Supporting Statement B	2024-07-26
0920-0212 Statement A 07.26.24.docx Supporting Statement A	2024-07-26

IC Document Collections

IC ID	Document Title	Status
6666	Att P_Initial Hospital Intake Questionnaire Form and Instruction	Modified
186285	Att S_Quarterly Transmission of EHR Data Form and Instruction	Modified
186283	Att C_Annual Hospital Interview Form and Instruction	Modified
186282	Att R_Monthly Transmission of UB-04 Data Form and Instruction	Modified
186281	Att Q_Recruitment Survey Presentation Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0212	ICR Reference No: 202407-0920-002
Status: Received in OIRA	Previous ICR Reference No: 202110-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0212
Title: National Hospital Care Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/26/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2024
Responses	5,826	6,604
Time Burden (Hours)	5,826	7,184
Cost Burden (Dollars)	0	0

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Abstract: The National Center for Health Statistics (NCHS) is to assess the health of the population through the creation of a dataset that contains information on health care utilization as well as the demographic characteristics, medical conditions, and treatment of patients who use hospitals for inpatient and ambulatory medical care in the United States. The Centers for Disease Control and Prevention (CDC), requests a three-year approval for a revision to continue the National Hospital Care Survey (NHCS) (OMB No. 0920-0212, expires 12/31/2024). Although there are no new questions added to the data collection survey, the COVID-19 questions from the Annual Hospital Interview (AHI) have been removed. Despite an increase in sample size, the burden hours have decreased as fewer hospitals now need to complete the one-time initial intake questionnaire (see section 12 for more information about these changes). The use of the resulting data is to provide government, professional, scientific, academic, and commercial institutions, and private research organizations, as well as private citizens with information that can be used to monitor public health and to investigate research questions about health care utilization and delivery over time. Inpatient and ambulatory data will be collected from a sample of 601 hospitals via Uniform Billing (UB)-04 administrative claims or electronic health record (EHR) data. Additionally, hospital-level characteristics for all sampled hospitals are gathered through an Annual Hospital Interview. The target subpopulation of the NHCS is inpatient discharges, and patient visits made to Emergency Departments (EDs) and Outpatient Departments (OPDs) of non-Federal, non-institutional hospitals with six or more beds staffed for inpatient use in the 50 states and the District of Columbia. Findings will be released in NCHS reports, dashboards, journal articles, and research papers as well as released to researchers for analysis.

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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:
	89 FR 38147	05/07/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 60638	07/26/2024
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Att C_Annual Hospital Interview	0920-0212	20XX Annual Hospital Interview (AHI)
Att P_Initial Hospital Intake Questionnaire	0920-0212	NHCS Initial Hospital Intake Questionnaire
Att Q_Recruitment Survey Presentation	0920-0212	National Hospital Care Survey Presentation For Hospital Executive and Staff
Att R_Monthly Transmission of UB-04 Data	0920-0212	Monthly Data Transmission of UB-04 Data
Att S_Quarterly Transmission of EHR Data	0920-0212	Quarterly Transmission of EHR Data

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ICR Summary of Burden

	Total Request	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	5,826	6,604	0	-778	0	0
Annual Time Burden (Hours)	5,826	7,184	0	-1,358	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The currently approved burden is 7,184 hours, and the proposed burden for the NHCS is 5,826 hours per data collection year. Because additional sample hospitals have been recruited for NHCS since the last approval request, fewer hospitals still need the initial two steps of recruitment. The result is a reduction of the annualized number of hospitals receiving the Intake Questionnaire (13 hours) and Recruitment Survey Presentation (106 hours). Additionally, with the inclusion of data submitted by ACEP the number of hours decreased for submission of UB-04 (624 hours). The removal of the COVID-19 questions also reduced the length of the Annual Hospital Interview (615 hours). This results in a net decrease of 1,358 burden hours.

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Annual Cost to Federal Government: $7,700,000

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.     No

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? No

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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: 07/26/2024

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