NATIONAL NURSING HOME SURVEY FOLLOWUP

ICR 198612-0937-003

OMB: 0937-0171

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
112418
Migrated
ICR Details
0937-0171 198612-0937-003
Historical Active 198802-0920-018
HHS/OASH
NATIONAL NURSING HOME SURVEY FOLLOWUP
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/09/1987
Retrieve Notice of Action (NOA) 12/09/1986
THIS REQUEST FOR CLEARANCE IS APPROVED ON THE FOLLOWING CONDITIONS: THE RELEVANT RESULTS FROM THE LAB RESEARCH ON RESPONSE ERRORS WILL BE USED TO ASSESS THE AFFECT OF RECALL ERRORS ON THIS SURVEY'S RESULTS AND ANY SIMILAR FUTURE SURVEY EFFORTS WILL INCORPORATE THE NECESSARY CHANGES TO MINIMIZE RECALL ERRORS.
  Inventory as of this Action Requested Previously Approved
02/28/1989 02/28/1989
9,000 0 0
2,250 0 0
0 0 0

AMONG THOSE RESPONSIBL FOR HEALTH POLICY, THERE IS CURRENTLY GREAT DEMAND FOR DATA ON THE DYNAMICS OF LONG-TERM-CARE USE. THE NATIONAL NURSING HOME FOLLOWUP SURVEY IS A COST-EFFECTIVE MEANS OF OBTAINING DATA ON THIS TOPIC. THE SURVEY DESIGN TARGETS FOR RE-INTERVIEW APPROXIMATELY 6500 RESPONDENTS TO THE NATIONAL NURSING HOME SURVEY.

None
None


No

1
IC Title Form No. Form Name
NATIONAL NURSING HOME SURVEY FOLLOWUP

  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 9,000 0 0 9,000 0 0
Annual Time Burden (Hours) 2,250 0 0 2,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
12/09/1986


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