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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:
201502-0920-011
Status:
Historical Inactive
Previous ICR Reference No:
201302-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
18672
Title:
National Hospital Care Survey
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn and continue
Conclusion Date:
05/07/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/03/2015
Terms of Clearance:
Please resubmit with only the average annual burden that will likely be used over the three year clearance period (i.e., the revision will only allow for piloting changes in protocol and sampling, not an extension of the original clearance period.)
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2016
36 Months From Approved
04/30/2016
Responses
131,516
0
131,516
Time Burden (Hours)
7,224
0
7,224
Cost Burden (Dollars)
0
0
0
Abstract:
The National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), requests approval to continue the National Hospital Care Survey (NHCS) (OMB No. 0920-0212) which integrates the National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB No. 0920-0278) and the Drug-Abuse Warning Network (DAWN) (OMB No. 0930-0078, expired 12/31/2011) previously conducted by the Substance Abuse and Mental Health Services Administration's (SAMHSA). Integration of NHAMCS and DAWN into the NHCS is part of a broader strategy to improve efficiency by minimizing redundancy in data collection; broadening our capability to collect more relevant data on transitions of care; and identifying opportunities to explore electronic and administrative clinical data systems to augment primary data collection.
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:
78 FR 14709
03/17/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 49517
08/21/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Ambulatory Unit Induction
none
Ambulatory Unit Induction
Annual Ambulatory Hospital Interview
Annual FSASC Interview
none
Annual FSASC Interview
Annual Inpatient Hospital Interview
FSASC Prepare and Transmit UB-40
FSASC Pulling and Refiling Patient Records
Initial Hospital Intake Questionnaire
none
Initial Intake Questionnaire
Prepare and Submit EHR for Inpatient and Ambulatory
Prepare and transmit UB-04 for Inpatient and Ambulatory
Pulling and re-filing Patient Records (ED, OPD, and ASL)
Recruitment Survey Presentation
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:
Burden increased overall due to the addition of 81 hospitals to the sample. Burden decreased overall due to removal of several line items, combining of questions, new electronic capabilities and removal of 2 other functions no longer required.
Annual Cost to Federal Government:
$9,173,000
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]?
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?
Uncollected
Agency Contact:
Carol Marsh 404 639-4773 cww6@cdc.gov
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:
03/03/2015
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