Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers

ICR 202007-0920-018

OMB: 0920-0943

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Form and Instruction
Removed
Form and Instruction
Modified
Form and Instruction
Modified
Form
Removed
Form
Removed
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supplementary Document
2020-07-27
Supporting Statement B
2020-07-27
Supporting Statement A
2020-07-27
ICR Details
0920-0943 202007-0920-018
Active 201803-0920-001
HHS/CDC 0920-0943
Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/03/2020
Retrieve Notice of Action (NOA) 07/28/2020
  Inventory as of this Action Requested Previously Approved
09/30/2023 24 Months From Approved
8,978 0 0
4,311 0 0
0 0 0

This request is for a Reinstatement with change of OMB Control Number 0920-0943 - Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers. The goal of this study is to collect data for the residential care community (RCC) and adult day services center (ADSC) survey components of the 4th National Study of Long-Term Care Providers (NSLTCP). The data to be collected will include the basic characteristics, services, staffing, and practices of RCCs and ADSCs, and the demographics, selected health conditions and health care utilization, physical functioning, and cognitive functioning of RCC residents and ADSC participants. This reinstatement involves minor changes to the instruments including addition of COVID-19 questions. The number of respondents and the burden have increased as well.

US Code: 42 USC 242k Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 57431 10/25/2019
85 FR 45433 07/28/2020
No

  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 8,978 0 0 8,978 -10,488 10,488
Annual Time Burden (Hours) 4,311 0 0 4,311 -2,751 2,751
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden increase is due to the increase in respondents.

$1,410,970
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Yes
Kevin Joyce 404 639-1944 kdj7@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.
07/28/2020


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