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

OMB 0920-0943

This request is for a Reinstatement with change of OMB Control Number 0920-0943 - Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers. 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 4th National Study of Long-Term Care Providers (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. This reinstatement involves minor changes to the instruments including addition of COVID-19 questions. The number of respondents and the burden have increased as well.

The latest form for Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Post-acute and Long-term Care Study expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
EHRs Subject Matter Expert Interview Form and Instruction
ADSC Services User Questionnaire Form and Instruction
RCC Services User Questionnaire Form and Instruction
Form 0920-0943 Data Retrieval Form
ADSC Provider Questionnaire Form and Instruction
RCC Provider Questionnaire Form and Instruction
Att I Human Subjects Research Determination .docx Supplementary Document
Att H Services User CATI Confirmation and Prep Letters and emails.docx Supplementary Document
Att G Prompting letters and emails.docx Supplementary Document
Att F Provider Questionnaire letters.docx Supplementary Document
2022 NPALS SS B 052522.docx Supporting Statement B
Att E-4 Advance Package NCHS Strictly Confidential Brochure.docx Supplementary Document
Att E-3 Advance Package Letters of Support.docx Supplementary Document
Att E-2 Advance Package Resident and Participant NCHS Data Briefs.docx Supplementary Document
Att E-1 Advance Package-NCHS Cover Letter with FAQs.docx Supplementary Document
Att D-2 ADSC Question Changes.xlsx Supplementary Document
Att D-1 RCC Question Changes.xlsx Supplementary Document
Att B-1 Sixty-day Notice in Federal Register 01242022.pdf Supplementary Document
Att A Public Health Service Act (306ab and 308d).docx Supplementary Document
2022 NPALS SS A 052022.docx Supporting Statement A
EHRs Subject Matter Expert Interview Form and Instruction
ADSC Services User Questionnaire Form and Instruction
RCC Services User Questionnaire Form and Instruction
Data Retrieval Form
ADSC Provider Questionnaire Form and Instruction
RCC Provider Questionnaire Form and Instruction

All Historical Document Collections

202205-0920-006 Approved without change	Revision of a currently approved collection	2022-06-08
202007-0920-018 Approved without change	Reinstatement with change of a previously approved collection	2020-07-28
201803-0920-001 Approved without change	Revision of a currently approved collection	2018-04-11
201604-0920-007 Approved without change	Reinstatement without change of a previously approved collection	2016-04-27
201402-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-02-04
201206-0920-004 Approved with change	New collection (Request for a new OMB Control Number)	2012-06-20

OMB Details

RCC/ADSC Contact Confirmation Call Script

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0943

RCC/ADSC Contact Confirmation Call Script

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.