Agency Forms Undergoing Paperwork Reduction Act Review

Federal RegisterDec 5, 1995

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30DAY-02]

Agency Forms Undergoing Paperwork Reduction Act Review

The Centers for Disease Control and Prevention (CDC) publishes a

list of information collection requests under review, in compliance

with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a

copy of these requests, call the CDC Reports Clearance Office on (404)

639-3453.

The following requests have been submitted for review since the

last publication date on November 29, 1995.

Proposed Projects

1. National Home and Hospice Care Survey--(0920-0298)--

Reinstatement--The National Home and Hospice Care Survey (NHHCS) was

conducted in 1992, 1993, and 1994. It is part of the Long- Term Care

Survey. Section 306 of the Public Health Service Act States that the

National Center for Health Statistics ``shall collect statistics on

health resources * * * [and] utilization of health care, including

utilization of * * * services of hospitals, extended care facilities,

home health agencies, and other institutions.'' NHHCS data are used to

examine this most rapidly expanding sector of the health care industry.

Data from the NHHCS are widely used by the health care industry and

policy makers for such diverse analyses as the need for various medical

supplies; minority access to health care; and planning for the health

care needs of the elderly. The NHHCS also reveals detailed information

on utilization patterns, as needed to make accurate assessments of the

need for and costs associated with such care. Data from earlier NHHCS

collections have used by the Congressional Budget Office, the Bureau of

Health Professionals, the Maryland Health Resources Planning

Commission, the National Association for Home Care, and by several

newspapers and journals. Additional uses are expected to be similar to

the uses of the National Nursing Home Study. NHHCS data cover: Baseline

data on the characteristics of hospices and home health agencies in

relation to their patients and staff, Medicare and Medicaid

certification, costs to patients, sources of payment, patient's

functional status and diagnoses, and categories of staff employees.

Data collection is planned for the period July- October, 1996. Survey

design is in process now.

Sample selection and preparation of layout forms will precede the

data collection by several months.

------------------------------------------------------------------------

Avg.

No. of No. of burden/

Respondents respondents responses/ response

respondent (in hrs.)

------------------------------------------------------------------------

Facility........................... 1200 1 0.333

Current Patient.................... 8400 1 0.19

Discharged Patient................. 8400 1 0.214

------------------------------------------------------------------------

The total annual burden is 3,792. Send comments to Allison Eydt;

Human Resources and Housing Branch, New Executive Office Building, Room

10235; Washington, DC 20503.

2. National Hospital Discharge Survey--(0920-0212)--Extension--The

National Hospital Discharge Survey (NHDS), which has been conducted

continuously by the National Center for Health Statistics, CDC, since

1965, is the principal source of data on inpatient utilization of

short-stay, non-Federal hospitals and is the only annual source of

nationally representative estimates on the characteristics of

discharges, the lengths of stay, diagnoses, surgical and non-surgical

procedures, and the patterns of use of care in hospitals in various

regions of the country. It is the benchmark against which special

programmatic data sources are compared. Data collected through the NHDS

are essential for evaluating health status of the population, for the

planning of programs and policy to elevate the health status of the

Nation, for studying morbidity trends, and for research activities in

the health field. NHDS data have been used extensively in the

production of goals for the Year 2000 Health Objectives and the

subsequent monitoring of these goals. In addition, NHDS data provide

annual updates for numerous tables in the Congressionally-mandated NCHS

report, Health, United States. Data from the NHDS are collected

annually on approximately 250,000 discharges from a nationally

representative sample of Federal hospitals. The data items collected

are the basic core of variables contained in the Uniform Hospital

Discharge Data Set (UHDDS). Data for approximately half of the

responding hospitals are abstracted from medical records while the

remainder of the hospital supply data through commercial abstract

service organizations, state data systems, in-house tapes of printouts.

------------------------------------------------------------------------

Avg.

No. of No. of burden/

Respondents respondents responses/ response

respondent (in hrs.)

------------------------------------------------------------------------

Primary Procedure Hospitals........ 77 251 0.083

Alternate Procedure Hospitals...... 136 250 0.016

Update (Abstract Service Hospitals) 150 2 0.033

Quality Control Forms (Hospitals).. 50 40 0.016

Induction Forms (Hospitals)........ 40 1 2

------------------------------------------------------------------------

The total annual burden is 2,269. Send comments to Allison Eydt;

Human Resources and Housing Branch, New Executive Office Building, Room

10235; Washington, DC 20503.

3. Functional Outcome and Use of Services Following Firearm

Injuries--New--Patients admitted to an urban hospital for treatment of

a firearm injury will be followed in order to: (1) Examine the nature

and extent of functional limitations and disability following a

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firearm injury, (2) examine the factors that influence patient

recovery, and (3) document the use of post-acute services and barriers

to receiving those services. The following data will be collected: (1)

Patients will be interviewed in person prior to discharge and by phone

at three months and nine months after discharge, and (2) the medical

record will also be abstracted.

------------------------------------------------------------------------

Avg.

No. of No. of burden/

Respondents respondents responses/ response

respondent (in hrs.)

------------------------------------------------------------------------

Patients with firearms injuries.... 320 3 0.60

------------------------------------------------------------------------

The total annual burden is 576. Send comments to Allison Eydt,

Human Resources and Housing Branch, New Executive Office Building, Room

10235, Washington, DC 20503.

Dated: November 29, 1995.

Wilma G. Johnson,

Acting Associate Director for Policy Planning And Evaluation, Centers

for Disease Control and Prevention (CDC).

[FR Doc. 95-29559 Filed 12-4-95; 8:45 am]

BILLING CODE 4163-18-P

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