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View ICR - OIRA Conclusion

OMB Control No: 0920-0278	ICR Reference No: 201804-0920-001
Status: Historical Active	Previous ICR Reference No: 201510-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0278
Title: National Hospital Ambulatory Medical Care Survey
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/2018
	Date Received in OIRA: 04/20/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved
Responses	37,825	0	0
Time Burden (Hours)	1,016	0	0
Cost Burden (Dollars)	42,570	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	37,825	48,025	-10,200
Annual Time Burden (Hours)	1,016	2,742	-1,726
Annual Cost Burden (Dollars)	42,570	42,570	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: Due to budget constraints, NCHS plans to implement only the ED component of the survey with the 2018 collection, ending the OPD and ASL settings after the 2017 collection is completed. This results in a reduction in the estimated annual burden from 4298 to 1251 hours.

Annual Cost to Federal Government: $5,227,440

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: Shari Steinberg 404 639-4942 sxw2@cdc.gov

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