View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0920-0943
ICR Reference No:
201604-0920-007
Status:
Historical Active
Previous ICR Reference No:
201402-0920-003
Agency/Subagency:
HHS/CDC
Agency Tracking No:
12BZ
Title:
Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/27/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/27/2016
Terms of Clearance:
Approved consistent with NCHS' plan to continue to explore ways to characterize (and if necessary, adjust for) non-response bias and explore ways to address these issues.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2019
36 Months From Approved
Responses
8,974
0
0
Time Burden (Hours)
4,310
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This request is for a reinstatement with nonsubstantive changes to collect data for the residential care community (RCC) and adult day services center (ADSC) components for the 2016 wave of the National Study of Long-Term Care Providers (NSLTCP). NSLTCP will be administered by mail, web, and telephone, and data will be collected from a sample of 11,690 RCCs and a census of about 5,400 ADSCs in the 50 states and the District of Columbia.
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:
80 FR 69678
11/10/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 23495
04/21/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
2016 Adult Day Services Center Questionnaire-Version B
NONE
National Study of Long-Term Care Providers--2016 Adult Day Services Center Questions-Version B
2016 Adult Day Services Center Questions-Version A
NONE
National Study of Long-Term Care Providers--2016 Adult Day Services Center Questions-Version A
2016 Residential Care Community Questions-Version A
NONE
National Study of Long Term Care Providers--2016 Residential Care Community Questions-Version A
2016 Residential Care Community Questions-Version B
NONE
National Study of Long Term Care Provider --2016 Residential Care Community Questions-Version B
Data Retrieval Telephone Call
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
8,974
0
0
8,974
0
0
Annual Time Burden (Hours)
4,310
0
0
4,310
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:
No
Burden Reduction Due to:
Short Statement:
As a result of the addition, deletion, and revision of select items, along with the development of two versions of the question for both the directors of Residential Care Communities and Adult Day Services Centers, this submission includes a decrease 10,397 respondents and 4,626 burden hours.
Annual Cost to Federal Government:
$1,089,446
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:
Thelma Sims 4046394771
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:
04/27/2016
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