[NCHS] 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 [NCHS] 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
ADSC Provider Questionnaire Form and Instruction
RCC Provider Questionnaire Form and Instruction
Att H Human Subjects ERB Letter.docx Supplementary Document
Att G Prompting letters and emails.docx Supplementary Document
Att F-4 Questionnaire packet NCHS Strictly Confidential Brochure.docx Supplementary Document
Att F-3 Questionnaire packet Letters of Support.docx Supplementary Document
Att F-2 Questionnaire packet NCHS Data Briefs.docx Supplementary Document
Att F-1 Questionnaire packet NCHS Cover Letter with FAQs 0524_final.docx Supplementary Document
Att E Advance Notification Letter.docx Supplementary Document
2024 NPALS SS B 070824_final.docx Supporting Statement B
Att D-2 ADSC Question Changes 0524.xlsx Supplementary Document
Att D-1 RCC Question Changes 0524.xlsx Supplementary Document
Att B Federal Register Notice.pdf Supplementary Document
Att A Public Health Service Act (306ab and 308d).docx Supplementary Document
2024 NPALS SS A 070824_final.docx Supporting Statement A
Data Retrieval Call Other-Info Sheet
EHRs Subject Matter Expert Interview Form and Instruction
ADSC Services User Questionnaire Form and Instruction
RCC Services User Questionnaire Form and Instruction
ADSC Provider Questionnaire Form and Instruction
RCC Provider Questionnaire Form and Instruction

All Historical Document Collections

202407-0920-006	Revision of a currently approved collection	2024-07-31
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.