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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCHS] Frame Development for the Residential Care Component of the National Post-acute and Long-term Care Study
Agency IC Tracking Number:
0920-25-0133
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Contact Info Verification
Att B-1 Advance Package Call Protocol FINAL.docx
No
Fillable Fileable
Form and Instruction
n/a
Telephone Protocol
Att A Semi-Structured Telephone Protocol.docx
No
Fillable Fileable
Form and Instruction
n/a
Electronic Files Development
Att C Electronic Files Development.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
87
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
70 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
261
0
261
0
0
0
Annual IC Time Burden (Hours)
182
0
182
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Advanced Package NCHS Letter
Att B-2 Advance Package NCHS letter FINAL.docx
09/10/2025
Advance Package Letter of Support
Att B-3 Advance Package letter of support FINAL.docx
09/10/2025
Confidentiality Brochure
Att B-4 Advance Package confidentiality brochure.docx
09/10/2025
Research Determination
Att D Human Subjects Determination.docx
09/10/2025
Thank You Letter
Att E Thank you letter.docx
09/10/2025
SSA
NPALS Frame Supp State A FINAL.docx
09/10/2025
SSB
NPALS Frame Supp State B FINAL.docx
09/10/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.