OMB control number

National Hospital Care Survey

OMB 0920-0212 · HHS/CDC.

OMB 0920-0212

The National Center for Health Statistics (NCHS) is to assess the health of the population through the creation of a dataset that contains information on health care utilization as well as the demographic characteristics, medical conditions, and treatment of patients who use hospitals for inpatient and ambulatory medical care in the United States. The Centers for Disease Control and Prevention (CDC), requests a three-year approval for a revision to continue the National Hospital Care Survey (NHCS) (OMB No. 0920-0212, expires 12/31/2024). Although there are no new questions added to the data collection survey, the COVID-19 questions from the Annual Hospital Interview (AHI) have been removed. Despite an increase in sample size, the burden hours have decreased as fewer hospitals now need to complete the one-time initial intake questionnaire (see section 12 for more information about these changes). The use of the resulting data is to provide government, professional, scientific, academic, and commercial institutions, and private research organizations, as well as private citizens with information that can be used to monitor public health and to investigate research questions about health care utilization and delivery over time. Inpatient and ambulatory data will be collected from a sample of 601 hospitals via Uniform Billing (UB)-04 administrative claims or electronic health record (EHR) data. Additionally, hospital-level characteristics for all sampled hospitals are gathered through an Annual Hospital Interview. The target subpopulation of the NHCS is inpatient discharges, and patient visits made to Emergency Departments (EDs) and Outpatient Departments (OPDs) of non-Federal, non-institutional hospitals with six or more beds staffed for inpatient use in the 50 states and the District of Columbia. Findings will be released in NCHS reports, dashboards, journal articles, and research papers as well as released to researchers for analysis.

The latest form for National Hospital Care Survey expires 2027-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0212 Att P_Initial Hospital Intake Questionnaire Form and Instruction
Form 0920-0212 Att S_Quarterly Transmission of EHR Data Form and Instruction
Form 0920-0212 Att C_Annual Hospital Interview Form and Instruction
Form 0920-0212 Att R_Monthly Transmission of UB-04 Data Form and Instruction
Form 0920-0212 Att Q_Recruitment Survey Presentation Form and Instruction
Att E - NHCS Overview Flyer.pdf Supplementary Document
Att W - SORN Privacy Act System Notice 09-20-0164.pdf Supplementary Document
Att V - SORN Privacy Act System Notice 09-20-0167.pdf Supplementary Document
Att U - ERB Memo - Protocol Determination Verification Status for NHCS.pdf Supplementary Document
Att T - NHCS Confidentiality Letter.docx Supplementary Document
Att O - ERB Approval Notice for NHCS.pdf Supplementary Document
Att L - NHCS Infographic Flyer (Southwest).pdf Supplementary Document
Att K - NHCS Infographic Flyer (West).pdf Supplementary Document
Att J - NHCS Infographic Flyer (East).pdf Supplementary Document
Att I - NHCS Infographic Flyer (South).pdf Supplementary Document
Att H - NHCS Infographic Flyer (Rural).pdf Supplementary Document
Att G - NHCS Infographic Flyer (Childrens).pdf Supplementary Document
Att F - NHCS Infographic Flyer (General).pdf Supplementary Document
Att D - NHCS Introductory Letter.pdf Supplementary Document
Att N - EHR Variable List.xlsx Supplementary Document
Att M - Currently Approved UB04 Data Elements.docx Supplementary Document
Att D - NHCS Introductory Letter.pdf Supplementary Document
Att B - Published 60-Day FRN NHCS 5.7.24.pdf Supplementary Document
Att A - Legislative Authority to Collect Data on Hospital Utilization.rtf Supplementary Document
0920-0212 Statement B 07.09.24.docx Supporting Statement B
0920-0212 Statement A 07.26.24.docx Supporting Statement A
Att P_Initial Hospital Intake Questionnaire Form and Instruction
Att S_Quarterly Transmission of EHR Data Form and Instruction
Att C_Annual Hospital Interview Form and Instruction
Att R_Monthly Transmission of UB-04 Data Form and Instruction
Att Q_Recruitment Survey Presentation Form and Instruction

All Historical Document Collections

202407-0920-002	Revision of a currently approved collection	2024-07-26
202110-0920-008 Approved without change	Revision of a currently approved collection	2021-11-04
202009-0920-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-09-17
202003-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-04-30
201901-0920-008 Approved without change	Revision of a currently approved collection	2019-01-30
201511-0920-007 Approved without change	Revision of a currently approved collection	2015-11-19
201502-0920-011 Withdrawn and continue	Revision of a currently approved collection	2015-03-03
201408-0920-007 Withdrawn and continue	Revision of a currently approved collection	2014-09-12
201302-0920-001 Approved without change	Revision of a currently approved collection	2013-02-01
201104-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-04-14
201102-0920-003 Approved without change	Revision of a currently approved collection	2011-02-01
200909-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-09-14
200808-0920-008 Approved without change	Revision of a currently approved collection	2008-08-26
200802-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-02-25
200612-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-12-12
200507-0920-002 Approved without change	Revision of a currently approved collection	2005-07-12
200207-0920-001 Approved with change	Extension without change of a currently approved collection	2002-07-10
200011-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2000-11-09
199909-0920-003 Approved without change	Extension without change of a currently approved collection	1999-09-07
199611-0920-001 Approved without change	Extension without change of a currently approved collection	1996-11-18
199511-0920-003 Approved without change	Extension without change of a currently approved collection	1995-11-29
199211-0920-001 Approved without change	Revision of a currently approved collection	1992-11-16
199006-0920-002 Approved without change	Revision of a currently approved collection	1990-06-27
198905-0920-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-04
198904-0920-025 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-27
198904-0920-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-06
198904-0920-015 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198802-0920-006 Approved without change	Revision of a currently approved collection	1988-02-05

OMB Details

Att P_Initial Hospital Intake Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0212

NHCS Initial Hospital Intake Questionnaire

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.