National Survey of Prison Health Care (NSPHC)

ICR 201205-0920-007

OMB: 0920-0935

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supporting Statement B
2012-05-16
Supplementary Document
2012-05-16
Supplementary Document
2012-05-16
Supplementary Document
2012-05-16
Supplementary Document
2012-05-16
Supplementary Document
2012-05-16
Supplementary Document
2012-05-16
Supporting Statement A
2012-05-16
IC Document Collections
ICR Details
0920-0935 201205-0920-007
Historical Active
HHS/CDC
National Survey of Prison Health Care (NSPHC)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/01/2012
Retrieve Notice of Action (NOA) 05/21/2012
  Inventory as of this Action Requested Previously Approved
06/30/2014 12 Months From Approved
51 0 0
204 0 0
0 0 0

The National Survey of Prison Health Care (NSPHC) will be a semi-structured telephone survey with a prison official in the Department of Corrections (DOC) in the 50 States and Federal Bureau of Prisons (BOP) and will seek facility-level information on the types of healthcare services delivered and the mechanisms used to deliver them. The goals of this survey include to: Collect data that will provide an overall picture of the structure of U.S. prison health care delivery systems; and assess the quality of the data collected. NSPHC will collect data on how DOCs maintain health records including the format (paper and/or electronic) of specific types of health records.

US Code: 42 USC 242k Name of Law: National Center for Health Statistics
  
None

Not associated with rulemaking

  76 FR 17420 03/29/2011
76 FR 75885 12/05/2011
Yes

1
IC Title Form No. Form Name
National Survey of Prison Health Care Interview Guide none NSPHC Interview Guide

  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 51 0 0 51 0 0
Annual Time Burden (Hours) 204 0 0 204 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$299,400
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tony Richardson 404 639-4965 lmr7@cdc.gov

  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.
05/21/2012


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