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View ICR - OIRA Conclusion

OMB Control No: 0920-0278	ICR Reference No: 202004-0920-006
Status: Historical Active	Previous ICR Reference No: 201809-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0278
Title: National Hospital Ambulatory Medical Care Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/04/2020
	Date Received in OIRA: 04/17/2020
Terms of Clearance: Approved consistent with commitment to routinely brief OMB about progress merging with National Hospital Care Survey. COVID-19 related data elements may be added through non-sub changes. Please report to OMB on CDC/NCHS' consideration of the comments from the American Association of Nurse Practitioners.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved	06/30/2021
Responses	56,507	0	25,700
Time Burden (Hours)	1,500	0	788
Cost Burden (Dollars)	70,597	0	22,699

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	56,507	25,700	30,807
Annual Time Burden (Hours)	1,500	788	712
Annual Cost Burden (Dollars)	70,597	22,699	47,898

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: We are requesting approval to complete the 2020 data collection which is currently underway and collect data over the following three years (2021-2023) without change to the current survey activities.

Annual Cost to Federal Government: $5,457,440

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]? 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? Yes

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

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