National Hospital Discharge Survey

OMB Control No: 0920-0212	ICR Reference No: 201102-0920-003
Status: Historical Active	Previous ICR Reference No: 200909-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Hospital Discharge 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: 04/06/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/01/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved	10/31/2011
Responses	2,711	0	33,755
Time Burden (Hours)	3,520	0	5,591
Cost Burden (Dollars)	0	0	0

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Abstract: The current NHDS is scheduled to expire with the 2010 data collection. Clearance is now being sought to field a new NHDS, scheduled to begin in 2011 with the recruitment of approximately 500 hospitals and collecting data on hospital inpatients for all discharges from those hospitals in 2011 continuing through 2013. Hospitals recruited from the NHDS will provide data on hospital inpatients from their Uniform Bill (UB)-04 administrative databases. This is a departure from the current NHDS by moving to an electronic system for collection of core data while providing a flexible platform that allows for primary data collection from the medical record for strategic samples of cases. In addition, facility level data will be collected through a facility questionnaire.

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Authorizing Statute(s): US Code: 42 USC 242k Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 48348	08/10/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 559	01/05/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title Form No. Form Name NHDS - 2010 & 2011 Verify Sampling and Reabstract Abstraction and Reabstraction for the ACS module of the NHDS NHDS Facility Questionaire Part A - D Post Induction - Facility Questionnaire (Part D) NHDS Survey Presentation Quarterly Transmission of UB -04 Data NHDS Survey Presentation for the ACS (Interview w/Hospital Executive and Staff) NHDS - Pretest Survey Presentation NHDS - Pretest Facility Questionnaire NHDS - Pretest Sample Listing Sheet NHDS - Pretest Verify Sampling and Reabstract NHDS - Pretest Debrief Hospital Staff Guide MHDS - 2010 & 2011 Survey Presentation to Hospitals NHDS - 2010 & 2011 Facility Questionnaire NHDS - 2010 & 2011 Sample listing sheet

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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	2,711	33,755	0	-32,696	1,652	0
Annual Time Burden (Hours)	3,520	5,591	0	-3,996	1,925	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: NHDS will institute a new version, which will no longer use average length of stay as an exclusion criterion. It is based on list, rather than a cluster sample of hospitals. Thus eliminating the area PSU stage of sampling. This is a revision of a currently approved collection.

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Annual Cost to Federal Government: $3,900,000

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

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Common Form ICR:  No

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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: 01/27/2011

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