81_FR_7146 81 FR 7119 - Agency Forms Undergoing Paperwork Reduction Act Review

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)

Page Range7119-7120
FR Document2016-02581

Federal Register, Volume 81 Issue 27 (Wednesday, 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]


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

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]
BILLING CODE 4163-18-P



                                                                                        Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices                                                                       7119

                                                                                                       EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                Number of
                                                                                                                                                                              Number of                            Hours per        Total burden
                                                                                                     Form name                                                                                responses per
                                                                                                                                                                             respondents                           response            hours
                                                                                                                                                                                                respondent

                                                          Total ..........................................................................................................               50                 1                   2            100



                                                       Exhibit 2 shows the estimated annual                                     respondents’ time to participate in this                        burden for the Environmental Scan
                                                     cost burden associated with the                                            information collection. The annual cost                         Interviews is estimated to be $4,984.

                                                                                                                    EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
                                                                                                                                                                                                                    Average
                                                                                                                                                                              Number of        Total burden                          Total cost
                                                                                                     Form name                                                                                                    hourly wage
                                                                                                                                                                             respondents          hours                               burden
                                                                                                                                                                                                                     rate *

                                                     Environmental Scan Interviews .......................................................................                               50               100         a $49.84            $4,984

                                                          Total ..........................................................................................................               50               100           a 49.84            4,984
                                                        * National Compensation Survey: Occupational wages in the United States May 2014, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
                                                        a Based on the mean wages for Medical and Health Services Managers 11–9111.




                                                     Request for Comments                                                       DEPARTMENT OF HEALTH AND                                        responses; and (e) Assess information
                                                                                                                                HUMAN SERVICES                                                  collection costs.
                                                       In accordance with the Paperwork                                                                                                           To request additional information on
                                                     Reduction Act, comments on AHRQ’s                                          Centers for Disease Control and                                 the proposed project or to obtain a copy
                                                     information collection are requested                                       Prevention                                                      of the information collection plan and
                                                     with regard to any of the following: (a)                                                                                                   instruments, call (404) 639–7570 or
                                                                                                                                [30Day–16–0234]
                                                     Whether the proposed collection of                                                                                                         send an email to omb@cdc.gov. Direct
                                                     information is necessary for the proper                                    Agency Forms Undergoing Paperwork                               written comments and/or suggestions
                                                     performance of AHRQ health care                                            Reduction Act Review                                            regarding the items contained in this
                                                     research and health care information                                                                                                       notice to the Attention: CDC Desk
                                                     dissemination functions, including                                            The Centers for Disease Control and                          Officer, Office of Management and
                                                     whether the information will have                                          Prevention (CDC) has submitted the                              Budget, Washington, DC 20503 or by fax
                                                     practical utility; (b) the accuracy of                                     following information collection request                        to (202) 395–5806. Written comments
                                                     AHRQ’s estimate of burden (including                                       to the Office of Management and Budget                          Information Collection Request
                                                     hours and costs) of the proposed                                           (OMB) for review and approval in                                Procedures Manual 35 should be
                                                     collection(s) of information; (c) ways to                                  accordance with the Paperwork                                   received within 30 days of this notice.
                                                                                                                                Reduction Act of 1995. The notice for
                                                     enhance the quality, utility, and clarity                                                                                                  Proposed Project
                                                                                                                                the proposed information collection is
                                                     of the information to be collected; and
                                                                                                                                published to obtain comments from the                             The National Ambulatory Medical
                                                     (d) ways to minimize the burden of the                                     public and affected agencies.                                   Care Survey (NAMCS), (OMB No. 0920–
                                                     collection of information upon the                                            Written comments and suggestions                             0234, expires 12/31/2017)—Revision—
                                                     respondents, including the use of                                          from the public and affected agencies                           National Center for Health Statistics
                                                     automated collection techniques or                                         concerning the proposed collection of                           (NCHS), Centers for Disease Control and
                                                     other forms of information technology.                                     information are encouraged. Your                                Prevention (CDC).
                                                       Comments submitted in response to                                        comments should address any of the
                                                                                                                                following: (a) Evaluate whether the                             Background and Brief Description
                                                     this notice will be summarized and
                                                     included in the Agency’s subsequent                                        proposed collection of information is                             Section 306 of the Public Health
                                                     request for OMB approval of the                                            necessary for the proper performance of                         Service (PHS) Act (42 U.S.C. 242k), as
                                                     proposed information collection. All                                       the functions of the agency, including                          amended, authorizes that the Secretary
                                                     comments will become a matter of                                           whether the information will have                               of Health and Human Services, acting
                                                     public record.                                                             practical utility; (b) Evaluate the                             through NCHS, shall collect statistics on
                                                                                                                                accuracy of the agencies estimate of the                        the utilization of health care provided
                                                     Sharon B. Arnold,                                                          burden of the proposed collection of                            by non-federal office-based physicians
                                                     Deputy Director.                                                           information, including the validity of                          in the United States. On December 19,
                                                     [FR Doc. 2016–02678 Filed 2–9–16; 8:45 am]                                 the methodology and assumptions used;                           2014, the OMB approved data collection
                                                     BILLING CODE 4160–90–P
                                                                                                                                (c) Enhance the quality, utility, and                           for three years from 2015 to 2017. This
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                                                                                                                                clarity of the information to be                                revision is to request approval to
                                                                                                                                collected; (d) Minimize the burden of                           continue NAMCS data collection
                                                                                                                                the collection of information on those                          activities for three years from 2016–
                                                                                                                                who are to respond, including through                           2018 and to add questions to the
                                                                                                                                the use of appropriate automated,                               physician interview that pertain to
                                                                                                                                electronic, mechanical, or other                                policies, services, and experiences
                                                                                                                                technological collection techniques or                          related to the prevention and treatment
                                                                                                                                other forms of information technology,                          of sexually transmitted infections (STIs)
                                                                                                                                e.g., permitting electronic submission of                       and HIV prevention among adolescents


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                                                     7120                             Federal Register / Vol. 81, No. 27 / Wednesday, February 10, 2016 / Notices

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

                                                                                                                            ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                       Average
                                                                                                                                                                                                         Number of
                                                                                                                                                                              Number of                                              burden per              Total burden
                                                               Type of respondents                                                Form name                                                            responses per
                                                                                                                                                                             respondents                                              response                 (in hrs.)
                                                                                                                                                                                                         respondent                    (in hrs.)

                                                     Office-based physicians ....................             Physician      Induction   Interview                                        2,590                              1                  45/60               1,943
                                                                                                                (NAMCS–1).
                                                                                                              Patient Record form (NAMCS–30)                                                  259                          30                   14/60               1,813
                                                                                                                (Physician abstracts).
                                                                                                              Prepare and transmit EHR (MU On-                                                130                            1                         1              130
                                                                                                                Boarding).
                                                                                                              Pulling, re-filing medical record                                           2,201                            30                     1/60              1,101
                                                                                                                forms (FR abstracts).
                                                     Community Health Centers ...............                 Induction Interview—service delivery                                            104                            1                  30/60                  52
                                                                                                                site (NAMCS–201).
                                                                                                              Induction        Interview—Providers                                            234                           1                   30/60                 117
                                                                                                                (NAMCS–1).
                                                                                                              Patient Record form (NAMCS–30)                                                   23                          30                   14/60                 161
                                                                                                                (Provider abstracts).
                                                                                                              Pulling, re-filing medical record                                              211                           30                     1/60                106
                                                                                                                forms (FR abstracts).
                                                     Re-abstraction study .........................           Pulling, re-filing medical record                                                72                         10                      1/60                 12
                                                                                                                forms (FR abstracts).

                                                          Total ...........................................   ...........................................................   ........................   ........................   ........................          5,435



                                                     Leroy A. Richardson,                                                    (Pub. L. 92–463), the Centers for Disease                                     applications received in response to
                                                     Chief, Information Collection Review Office,                            Control and Prevention (CDC)                                                  ‘‘Research and Methods in Health
                                                     Office of Scientific Integrity, Office of the                           announces a meeting for the initial                                           Statistics’’, FOA SH16–001.
                                                     Associate Director for Science, Office of the                           review of applications in response to
                                                     Director, Centers for Disease Control and                                                                                                                Contact Person For More Information:
                                                                                                                             Funding Opportunity Announcement                                              Virginia S. Cain, Ph.D., Director of
                                                     Prevention.                                                             (FOA) SH16–001, Research and
                                                     [FR Doc. 2016–02581 Filed 2–9–16; 8:45 am]                                                                                                            Extramural Research, National Center
                                                                                                                             Methods in Health Statistics.
                                                                                                                                                                                                           for Health Statistics, CDC, 3311 Toledo
                                                     BILLING CODE 4163–18–P                                                    Time And Date: 10:00 a.m.–4:30 p.m.,
                                                                                                                                                                                                           Rd., Room 7208, Hyattsville, MD,
                                                                                                                             March 3, 2016 (Closed).
                                                                                                                                                                                                           Telephone: (301) 458–4500.
                                                                                                                               Place: Teleconference.
                                                     DEPARTMENT OF HEALTH AND                                                                                                                                 The Director, Management Analysis
                                                                                                                               Status: The meeting will be closed to
                                                     HUMAN SERVICES                                                                                                                                        and Services Office, has been delegated
                                                                                                                             the public in accordance with
                                                                                                                             provisions set forth in Section                                               the authority to sign Federal Register
asabaliauskas on DSK9F6TC42PROD with NOTICES2




                                                     Centers for Disease Control and
                                                                                                                             552b(c)(4) and (6), Title 5 U.S.C., and                                       notices pertaining to announcements of
                                                     Prevention
                                                                                                                             the Determination of the Director,                                            meetings and other committee
                                                     Disease, Disability, and Injury                                         Management Analysis and Services                                              management activities, for both the
                                                     Prevention and Control Special                                          Office, CDC, pursuant to Public Law 92–                                       Centers for Disease Control and
                                                     Emphasis Panel (SEP): Initial Review                                    463.
                                                                                                                               Matters For Discussion: The meeting
                                                       In accordance with Section 10(a)(2) of                                will include the initial review,
                                                     the Federal Advisory Committee Act                                      discussion, and evaluation of


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Document Created: 2016-02-10 00:19:41
Document Modified: 2016-02-10 00:19:41
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation81 FR 7119 

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