Information Collection Request

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

ICR 202407-0920-006 · OMB 0920-0943 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Semi-structured Telephone Protocol for EHRs Subject Matter Expert Interviews Form and Instruction Removed Available
EHRs Subject Matter Expert Interview Form and Instruction Removed Repair queued
ADSC Services User Questionnaire Items Form and Instruction Removed Available
ADSC Services User Questionnaire Form and Instruction Removed Available
RCC Services User Questionnaire Items Form and Instruction Removed Available
RCC Services User Questionnaire Form and Instruction Removed Repair queued
2024 Adult Day Services Center Questionnaire Form and Instruction Modified Available
ADSC Provider Questionnaire Form and Instruction Modified Repair queued
2024 Residential Care Community Questionnaire Form and Instruction Modified Available
RCC Provider Questionnaire Form and Instruction Modified Repair queued
Att H Human Subjects ERB Letter.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att G Prompting letters and emails.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att F-4 Questionnaire packet NCHS Strictly Confidential Brochure.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att F-3 Questionnaire packet Letters of Support.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att F-2 Questionnaire packet NCHS Data Briefs.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att F-1 Questionnaire packet NCHS Cover Letter with FAQs 0524_final.docx Supplementary Document Uploaded 2024-07-29 Repair queued
Att E Advance Notification Letter.docx Supplementary Document Uploaded 2024-07-29 Repair queued
2024 NPALS SS B 070824_final.docx Supporting Statement B Uploaded 2024-07-29 Repair queued
Att D-2 ADSC Question Changes 0524.xlsx Supplementary Document Uploaded 2024-07-29 Repair queued
Att D-1 RCC Question Changes 0524.xlsx Supplementary Document Uploaded 2024-07-29 Repair queued
Att B Federal Register Notice.pdf Supplementary Document Uploaded 2024-07-29 Repair queued
Att A Public Health Service Act (306ab and 308d).docx Supplementary Document Uploaded 2024-07-29 Repair queued
2024 NPALS SS A 070824_final.docx Supporting Statement A Uploaded 2024-07-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
269687 Data Retrieval Call Other-Info Sheet New
253599 EHRs Subject Matter Expert Interview Form and Instruction RemovedSemi-structured Telephone Protocol for EHRs Subject Matter Expert Interviews
253599 EHRs Subject Matter Expert Interview Form and Instruction Removed
253598 ADSC Services User Questionnaire Form and Instruction RemovedADSC Services User Questionnaire Items
253598 ADSC Services User Questionnaire Form and Instruction Removed
253597 RCC Services User Questionnaire Form and Instruction RemovedRCC Services User Questionnaire Items
253597 RCC Services User Questionnaire Form and Instruction Removed
231011 ADSC Provider Questionnaire Form and Instruction Modified2024 Adult Day Services Center Questionnaire
231011 ADSC Provider Questionnaire Form and Instruction Modified
231010 RCC Provider Questionnaire Form and Instruction Modified2024 Residential Care Community Questionnaire
231010 RCC Provider Questionnaire Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2025 24 Months From Approved 07/31/2025
8,978 0 3,850
4,311 0 1,932
0 0 110,241





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
ADSC Provider Questionnaire None
ADSC Services User Questionnaire None
Data Retrieval Call
EHRs Subject Matter Expert Interview None
RCC Provider Questionnaire None
RCC Services User Questionnaire None

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 8,978 3,850 0 7,058 -1,930 0
Annual Time Burden (Hours) 4,311 1,932 0 3,350 -971 0
Annual Cost Burden (Dollars) 0 110,241 0 -54,835 -55,406 0


Reginfo record details
  No