National Hospital Care Survey

OMB Control No: 0920-0212	ICR Reference No: 201511-0920-007
Status: Historical Active	Previous ICR Reference No: 201302-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 18672
Title: National Hospital 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: 01/07/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/19/2015
Terms of Clearance: NCHS will communicate regularly with OMB about the outcome of its effort to combe NHAMCS with the NHCS, particularly progress in recruiting hospitals and their ability to efficiently transfer data to NCHS, as well as the expected timing of combining these ICRs as well as its progress on developing the frame for the free standing ambulatory care facilities.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved	04/30/2016
Responses	7,458	0	131,516
Time Burden (Hours)	8,232	0	7,224
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), requests approval to continue the National Hospital Care Survey (NHCS) (OMB No. 0920-0212) which integrates the National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB No. 0920-0278) and the Drug-Abuse Warning Network (DAWN) (OMB No. 0930-0078, expired 12/31/2011) previously conducted by the Substance Abuse and Mental Health Services Administration's (SAMHSA).

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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:
	79 FR 14709	03/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 49517	08/21/2014
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 Recruitment Survey Presentation 0920-0212 Att O - Recruitment Survey Pres Prepare and transmit UB-04 or State File for Inpatient and Ambulatory 0920-0212 Att P - Mth Data Trans of UB-04 Data Annual Hospital Interview 0920-0212 Att J - Proposed Final Annual Hospital Interview Annual Ambulatory Hospital Interview 0920-0212 Att K - Ann Amb Hosp Inter Prepare and Transmit EHR for Inpatient and Ambulatory 0920-0212 Att W - Qtr Data Trans of EHR Data Annual FSASC Interview none Annual FSASC Interview FSASC Pulling and Refiling Patient Records Pulling and re-filing Patient Records (ED, OPD, and ASL) FSASC Prepare and Transmit UB-40 Initial Hospital Intake Questionnaire 0920-0212 Att N - Proposed Final Initial Hosp Intake Ques

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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	7,458	131,516	0	-124,058	0	0
Annual Time Burden (Hours)	8,232	7,224	0	1,008	0	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: Miscellaneous Actions

Short Statement: The currently approved burden is 7,224 hours; the proposed burden for the NHCS is 8,232 hours per data collection year; 1,975 hours were subtracted as a result of the removal of several line items (Ambulatory Unit Induction, Pulling and re-filing Patient Records [ED, OPD, and ASL], Annual FSASC Interview, Prepare and transmit UB-04, and Pulling and re-filing Patient Records); 2,983 hours were added as result of the change to monthly data transmission for UB-04 claims as well as increasing the sample to 581 hospitals. This results in a net increase of 1,008 burden hours.

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Annual Cost to Federal Government: $6,500,000

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]? 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: Catina Conner 404 639-4775

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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: 11/19/2015

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