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
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.
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.
NHDS Att V Sampling Manual for the Pretest new.doc
Attachment S NCHS ERB approval letter for Pilot Study.pdf
NHDS - Medical abstract form