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View ICR - OIRA Conclusion

OMB Control No: 0920-0278	ICR Reference No: 201809-0920-005
Status: Historical Active	Previous ICR Reference No: 201804-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0278
Title: National Hospital Ambulatory Medical Care Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/26/2018
	Date Received in OIRA: 09/20/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	06/30/2021	06/30/2021
Responses	25,700	0	37,825
Time Burden (Hours)	788	0	1,016
Cost Burden (Dollars)	22,699	0	42,570

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	25,700	37,825	-12,125
Annual Time Burden (Hours)	788	1,016	-228
Annual Cost Burden (Dollars)	22,699	42,570	-19,871

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: Changing Forms

Short Statement: NCHS has made changes to the 2019-2020 Hospital Induction survey, which will begin after the 2018 collection is completed. A 2019-2020 Re-Interview Study is also added. This results in a reduction in the estimated annual burden reduction to 788 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: Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

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