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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0212
ICR Reference No:
200808-0920-008
Status:
Historical Active
Previous ICR Reference No:
200802-0920-014
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
National Hospital Discharge Survey
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
10/10/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/26/2008
Terms of Clearance:
OMB is providing clearance only for the pretest of the redesign. NCHS must submit a change package for approval for the main study. The terms of approval include a commitment by NCHS to use this updated assurance of confidentiality on each pretest form: “Assurance of Confidentiality - All information which would permit identification of any individual, a practice, or an establishment will be held confidential, will be used for statistical purposes only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or the establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).”
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2011
36 Months From Approved
10/31/2008
Responses
33,755
0
47,525
Time Burden (Hours)
5,591
0
2,408
Cost Burden (Dollars)
0
0
0
Abstract:
This request is for a revision of the National Hospital Discharge Survey. It includes a reduction in the current sample size (2008 & 2009), a pretest of a redesigned NHDS (2008), and field work for the first 2 years of the redesigned NHDS (2010-2011). The pretest focuses on the design and testing of the operational mechanism to recruit a new panel of hospitals and collect a broader range of data elements. For the redesigned NHDS, efforts to minimize burden include: information to come from the Uniform Bill 04, it is a sample survey, hospitals will be asked to submit 10 abstracts per month, and field agents will input data the CAPI system. There are hospital level and discharge level data collection activities in the redesigned NHDS.
Authorizing Statute(s):
US Code:
42 USC 242k
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
73 FR 1354
01/08/2008
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 45012
08/01/2008
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
15
IC Title
Form No.
Form Name
MHDS - 2010 & 2011 Survey Presentation to Hospitals
NHDS - 2010 & 2011 Facility Questionnaire
NHDS - 2010 & 2011 Sample listing sheet
NHDS - 2010 & 2011 Verify Sampling and Reabstract
NHDS - Alternate Procedure Hospitals Locating Medical Records Manual
NHDS - Hospital In-house Tape or Printout Transmittal Notice
NHDS - Hospital Interview Questionnaire
NHDS - Medical abstract form
NHDS - Pretest Debrief Hospital Staff Guide
NHDS - Pretest Facility Questionnaire
NHDS - Pretest Sample Listing Sheet
NHDS - Pretest Survey Presentation
NHDS - Pretest Verify Sampling and Reabstract
NHDS - Primary Procedure Hospitals Sample Listing Sheet
NHDS - Primary Procedures Hospital Transmittal Notice
ICR Summary 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
33,755
47,525
0
-13,770
0
0
Annual Time Burden (Hours)
5,591
2,408
0
3,183
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
An increase in burden hours is primarily due to the concurrent redesign of the NHDS. This includes a pretest of the redesign, and the return to a manual data collection for sampling discharges (obtaining the UB-04 and payment data by hospital staff). A more complex sampling design and data items from more locations will increase the burden.
Annual Cost to Federal Government:
$4,461,112
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Maryam Daneshvar 4046394604
Common Form ICR:
No
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:
08/26/2008