[NCHS] 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
Form 0920-25-0097 0920-0943 NPALS_ADSC_Final_Updated	Form	Modified	Available
2024 Adult Day Services Center Questionnaire	Form and Instruction	Modified	Available
ADSC Provider Questionnaire	Form and Instruction	Modified	Repair queued
Form 0920-25-0097 0920-0943 NPALS_RCC_Final_Updated	Form	Modified	Available
2024 Residential Care Community Questionnaire	Form and Instruction	Modified	Available
RCC Provider Questionnaire	Form and Instruction	Modified	Repair queued
Change Request Memo - EO14168 - 0920-0943 (NPALS).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-22	Available
Change Request Memo - EO14168 - 0920-0943 (NPALS).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-04-22	Repair queued
Att H Human Subjects ERB Letter.docx	Supplementary Document	Uploaded 2024-07-29	Available
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	Available
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-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-3 Questionnaire packet Letters of Support.docx	Supplementary Document	Uploaded 2024-07-29	Missing upstream
Att F-2 Questionnaire packet NCHS Data Briefs.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 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	Available
Att E Advance Notification Letter.docx	Supplementary Document	Uploaded 2024-07-29	Available
2024 NPALS SS B 070824_final.docx	Supporting Statement B	Uploaded 2025-04-23	Repair queued
2024 NPALS SS B 070824_final.docx	Supporting Statement B	Uploaded 2025-04-23	Missing upstream
Att D-2 ADSC Question Changes 0524.xlsx	Supplementary Document	Uploaded 2024-07-29	Available
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	Available
Att D-1 RCC Question Changes 0524.xlsx	Supplementary Document	Uploaded 2024-07-29	Missing upstream
Att B Federal Register Notice.pdf	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	Available
Att A Public Health Service Act (306ab and 308d).docx	Supplementary Document	Uploaded 2024-07-29	Missing upstream
2024 NPALS SS A 070824_final.docx	Supporting Statement A	Uploaded 2025-04-23	Repair queued
2024 NPALS SS A 070824_final.docx	Supporting Statement A	Uploaded 2025-04-23	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269687	Data Retrieval Call	Other-Info Sheet	Unchanged
231011	ADSC Provider Questionnaire	Form	Modified	0920-0943 NPALS_ADSC_Final_Updated
231011	ADSC Provider Questionnaire	Form and Instruction	Modified	2024 Adult Day Services Center Questionnaire
231011	ADSC Provider Questionnaire	Form and Instruction	Modified
231010	RCC Provider Questionnaire	Form	Modified	0920-0943 NPALS_RCC_Final_Updated
231010	RCC Provider Questionnaire	Form and Instruction	Modified	2024 Residential Care Community Questionnaire
231010	RCC Provider Questionnaire	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0943	ICR Reference No: 202504-0920-018
Status: Historical Active	Previous ICR Reference No: 202407-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0943-25-0097
Title: [NCHS] 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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/20/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/01/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2025	10/31/2025	10/31/2025
Responses	8,978	0	8,978
Time Burden (Hours)	4,311	0	4,311
Cost Burden (Dollars)	0	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. This revision requests to increase sample sizes, make minor revisions to the data collection instruments, and add data retrieval telephone calls.

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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 38146	05/07/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 60634	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: 3

table that charts list of burden

IC Title	Form No.	Form Name
ADSC Provider Questionnaire	None, 0920-25-0097	2024 Adult Day Services Center Questionnaire ,   0920-0943 NPALS_ADSC_Final_Updated
Data Retrieval Call
RCC Provider Questionnaire	None, 0920-25-0097	2024 Residential Care Community Questionnaire ,   0920-0943 NPALS_RCC_Final_Updated

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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	8,978	8,978	0	0	0	0
Annual Time Burden (Hours)	4,311	4,311	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: $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.     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? 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: 05/01/2025

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