81 FR 7119 - Agency Forms Undergoing Paperwork Reduction Act Review

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 81, Issue 27 (February 10, 2016)

[Federal Register Volume 81, Number 27 (Wednesday, February 10, 2016)]
[Notices]
[Pages 7119-7120]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-02581]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-16-0234]


Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) has submitted 
the following information collection request to the Office of 
Management and Budget (OMB) for review and approval in accordance with 
the Paperwork Reduction Act of 1995. The notice for the proposed 
information collection is published to obtain comments from the public 
and affected agencies.
    Written comments and suggestions from the public and affected 
agencies concerning the proposed collection of information are 
encouraged. Your comments should address any of the following: (a) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (b) Evaluate the 
accuracy of the agencies estimate of the burden of the proposed 
collection of information, including the validity of the methodology 
and assumptions used; (c) Enhance the quality, utility, and clarity of 
the information to be collected; (d) Minimize the burden of the 
collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses; and 
(e) Assess information collection costs.
    To request additional information on the proposed project or to 
obtain a copy of the information collection plan and instruments, call 
(404) 639-7570 or send an email to [email protected]. Direct written comments 
and/or suggestions regarding the items contained in this notice to the 
Attention: CDC Desk Officer, Office of Management and Budget, 
Washington, DC 20503 or by fax to (202) 395-5806. Written comments 
Information Collection Request Procedures Manual 35 should be received 
within 30 days of this notice.

Proposed Project

    The National Ambulatory Medical Care Survey (NAMCS), (OMB No. 0920-
0234, expires 12/31/2017)--Revision--National Center for Health 
Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 
242k), as amended, authorizes that the Secretary of Health and Human 
Services, acting through NCHS, shall collect statistics on the 
utilization of health care provided by non-federal office-based 
physicians in the United States. On December 19, 2014, the OMB approved 
data collection for three years from 2015 to 2017. This revision is to 
request approval to continue NAMCS data collection activities for three 
years from 2016-2018 and to add questions to the physician interview 
that pertain to policies, services, and experiences related to the 
prevention and treatment of sexually transmitted infections (STIs) and 
HIV prevention among adolescents

[[Page 7120]]

and others. Small modifications will also be made to questions on the 
use of electronic health records. This notice also covers a decrease in 
the sample size resulting from smaller budget allocations and 
oversampling in previous years. Due to this decrease, selected state 
estimates will not be available for 2016-2018 data.
    The National Ambulatory Medical Care Survey (NAMCS) has been 
conducted intermittently from 1973 through 1985, and annually since 
1989. The purpose of NAMCS, a voluntary survey, is to meet the needs 
and demands for statistical information about the provision of 
ambulatory medical care services in the United States. Ambulatory 
services are rendered in a wide variety of settings, including 
physicians' offices and hospital outpatient and emergency departments.
    The NAMCS target universe consists of all office visits made by 
ambulatory patients to non-Federal office-based physicians (excluding 
those in the specialties of anesthesiology, radiology, and pathology) 
who are engaged in direct patient care. In 2006, physicians and mid-
level providers (i.e., nurse practitioners, physician assistants, and 
nurse midwives) practicing in community health centers (CHCs) were 
added to the NAMCS sample, and these data will continue to be 
collected.
    To complement NAMCS data, NCHS initiated the National Hospital 
Ambulatory Medical Care Survey (NHAMCS, OMB No. 0920-0278, expires 02/
28/18) in 1992 to provide data concerning patient visits to hospital 
outpatient and emergency departments. NAMCS and NHAMCS are the 
principal sources of data on ambulatory care provided in the United 
States.
    There is no cost to the respondents other than their time. Burden 
hours have seen a net reduction of 19,876 hours since the previously 
approved package, primarily due to a sample size decrease. Currently, 
there is not a plan to include state-based estimates in the future, 
unless funding is increased sufficiently to support oversampling in the 
states for which state based estimates are desired.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent       (in hrs.)       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Office-based physicians.......  Physician                  2,590               1           45/60           1,943
                                 Induction
                                 Interview
                                 (NAMCS-1).
                                Patient Record               259              30           14/60           1,813
                                 form (NAMCS-30)
                                 (Physician
                                 abstracts).
                                Prepare and                  130               1               1             130
                                 transmit EHR
                                 (MU On-
                                 Boarding).
                                Pulling, re-               2,201              30            1/60           1,101
                                 filing medical
                                 record forms
                                 (FR abstracts).
Community Health Centers......  Induction                    104               1           30/60              52
                                 Interview--serv
                                 ice delivery
                                 site (NAMCS-
                                 201).
                                Induction                    234               1           30/60             117
                                 Interview--Prov
                                 iders (NAMCS-1).
                                Patient Record                23              30           14/60             161
                                 form (NAMCS-30)
                                 (Provider
                                 abstracts).
                                Pulling, re-                 211              30            1/60             106
                                 filing medical
                                 record forms
                                 (FR abstracts).
Re-abstraction study..........  Pulling, re-                  72              10            1/60              12
                                 filing medical
                                 record forms
                                 (FR abstracts).
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           5,435
----------------------------------------------------------------------------------------------------------------


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2016-02581 Filed 2-9-16; 8:45 am]
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