OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Frame Development for the National Survey of Long-Term Providers

ICR 201306-0920-010 · OMB 0920-0912 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Contact Information Verification Form Modified Available
NSLTCP Frame Supp State Part B.DOC Supporting Statement B Uploaded 2013-06-05 Repair queued
Attachment G-Thank You Letter.doc Supplementary Document Uploaded 2013-06-05 Available
Attachment F-Human Subjects.doc Supplementary Document Uploaded 2013-06-05 Available
Attachment E-Federal Register Notice.doc Supplementary Document Uploaded 2013-06-05 Available
Attachment A-NCHS Legislation.doc Supplementary Document Uploaded 2013-06-05 Available
Attachment C 3-Advance Package NCHS Confidentiality Brochure.doc Supplementary Document Uploaded 2013-06-05 Repair queued
Attachment C 2-Advance Package NCHS Cover Letter.doc Supplementary Document Uploaded 2013-06-05 Available
NSLTCP Frame Supp State Part A.doc Supporting Statement A Uploaded 2013-06-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
200463 Electronic File Development Instruction Modified
200462 Telephone Protocol Instruction Modified
200461 Contact Information Verification Form Modified
ICR Details
0920-0912 201306-0920-010
Historical Active 201112-0920-008
HHS/CDC 19745
Frame Development for the National Survey of Long-Term Providers
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 07/25/2013
Retrieve Notice of Action (NOA) 06/21/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved
102 0 0
88 0 0
0 0 0
NCHS seeks approval to collect data needed to develop an up-to-date sampling frame of residential care facilities. The frame will be used to draw a nationally representative sample for a planned survey, the National Study of Long-Term Care Providers.
US Code: 42 USC 242 Name of Law: USC
  
None
Not associated with rulemaking
  78 FR 18599 03/27/2013
78 FR 34386 06/12/2013
No
3
IC Title Form No. Form Name
Contact Information Verification none Contact Information Verification
Telephone Protocol
Electronic File Development
  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 102 0 0 102 0 0
Annual Time Burden (Hours) 88 0 0 88 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The previous approval was for 1 year of information collection. This request is for two collections over 3 years, resulting in a reduction of annualized burden.
$188,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
06/21/2013