Information Collection Request

National Hospital Discharge Survey

ICR 200808-0920-008 · OMB 0920-0212 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
NHDS Att V Sampling Manual for the Pretest new.doc Supplementary Document Uploaded 2008-10-06 Repair queued
Revised NHDS Supporting Statement Part B 10 02 08.doc Supporting Statement B Uploaded 2008-10-06 Available
Attachment S NCHS ERB approval letter for Pilot Study.pdf Supplementary Document Uploaded 2008-07-24 Available
Attachment Q Estimated RSEs.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment M2 FAQ 2010 & 2011 .doc Supplementary Document Uploaded 2008-07-24 Available
Attachment M1 Revised FAQ Pretest 10 02 08 .doc Supplementary Document Uploaded 2008-10-06 Available
NHDS Att. J 10 2 08 .doc Supplementary Document Uploaded 2008-10-06 Repair queued
Attachment H2 Induction Letter NHDS 2010.doc Supplementary Document Uploaded 2008-07-24 Repair queued
NHDS Att H1Induction Letter NHDS Pretest 10 01 08.doc Supplementary Document Uploaded 2008-10-06 Repair queued
Attachment F 2005-07 ERB approval .doc Supplementary Document Uploaded 2008-07-24 Available
Attachment E RTI Data Security Plan.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment D Consults on Redesign.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment C NHDS 2008 Fed Reg.pdf Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment B Executive Summary of Feasibility Study.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment A Legislative Authority.pdf Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment P cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment P National Survey PATIENT ABSTRACT 6-27-08.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment L cover with burden.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment L PATIENT ABSTRACT June 25 08.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment G 6 Cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment G 5 Cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment G 4 HDS cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment G3 cover.doc Supplementary Document Uploaded 2008-07-24 Available
Attachment G 2 Cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Attachment G1 cover.doc Supplementary Document Uploaded 2008-07-24 Repair queued
Revised HDS Supporting Statement Part A 10 02 08.doc Supporting Statement A Uploaded 2008-10-06 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
6666 NHDS - Medical abstract form Other-Medical Abstract Form Modified
186294 NHDS - 2010 & 2011 Verify Sampling and Reabstract Other-2010 & 2011 Verify Sample and Reabstraction New
186293 NHDS - 2010 & 2011 Sample listing sheet Other-2010 & 2011 Sample listing sheet New
186292 NHDS - 2010 & 2011 Facility Questionnaire Other-Facility Questionnaire New
186291 MHDS - 2010 & 2011 Survey Presentation to Hospitals Other-2010 & 2011 Survey Presentation to Hospitals New
186290 NHDS - Pretest Debrief Hospital Staff Guide Other-Pretest Debrief Hospital Staff Guide New
186289 NHDS - Pretest Verify Sampling and Reabstract Other-Pretest Verify Sampling and Reabstract New
186288 NHDS - Pretest Sample Listing Sheet Other-Pretest Sample Listing Sheet New
186287 NHDS - Pretest Facility Questionnaire Other-Pretest Facililty Questionnaire New
186286 NHDS - Pretest Survey Presentation Other-Survey Presentation for Pretest New
186285 NHDS - Hospital Interview Questionnaire Other-Hospital Interview Questionnaire New
186284 NHDS - Hospital In-house Tape or Printout Transmittal Notice Other-Attachment G5 - Hospital In-house Tape or Printout Transmi New
186283 NHDS - Alternate Procedure Hospitals Locating Medical Records Manual Other-Attachment G4 - Hospital Manual New
186282 NHDS - Primary Procedures Hospital Transmittal Notice Other-Primary Procedures Hospitals Transmittal Notice New
186281 NHDS - Primary Procedure Hospitals Sample Listing Sheet Other-Primary Procedures Hospitals Sampling Listing Sheet New
ICR Details
0920-0212 200808-0920-008
Historical Active 200802-0920-014
HHS/CDC
National Hospital Discharge Survey
Revision of a currently approved collection   No
Regular
Approved without change 10/10/2008
Retrieve Notice of Action (NOA) 08/26/2008
OMB is providing clearance only for the pretest of the redesign. NCHS must submit a change package for approval for the main study. The terms of approval include a commitment by NCHS to use this updated assurance of confidentiality on each pretest form: “Assurance of Confidentiality - All information which would permit identification of any individual, a practice, or an establishment will be held confidential, will be used for statistical purposes only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or the establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).”
  Inventory as of this Action Requested Previously Approved
10/31/2011 36 Months From Approved 10/31/2008
33,755 0 47,525
5,591 0 2,408
0 0 0

This request is for a revision of the National Hospital Discharge Survey. It includes a reduction in the current sample size (2008 & 2009), a pretest of a redesigned NHDS (2008), and field work for the first 2 years of the redesigned NHDS (2010-2011). The pretest focuses on the design and testing of the operational mechanism to recruit a new panel of hospitals and collect a broader range of data elements. For the redesigned NHDS, efforts to minimize burden include: information to come from the Uniform Bill 04, it is a sample survey, hospitals will be asked to submit 10 abstracts per month, and field agents will input data the CAPI system. There are hospital level and discharge level data collection activities in the redesigned NHDS.

US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  73 FR 1354 01/08/2008
73 FR 45012 08/01/2008
No

  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 33,755 47,525 0 -13,770 0 0
Annual Time Burden (Hours) 5,591 2,408 0 3,183 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
An increase in burden hours is primarily due to the concurrent redesign of the NHDS. This includes a pretest of the redesign, and the return to a manual data collection for sampling discharges (obtaining the UB-04 and payment data by hospital staff). A more complex sampling design and data items from more locations will increase the burden.

$4,461,112
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Maryam Daneshvar 4046394604

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/26/2008