82_FR_27369 82 FR 27256 - Agency Forms Undergoing Paperwork Reduction Act Review

82 FR 27256 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 82, Issue 113 (June 14, 2017)

Page Range27256-27257
FR Document2017-12272

Federal Register, Volume 82 Issue 113 (Wednesday, June 14, 2017)
[Federal Register Volume 82, Number 113 (Wednesday, June 14, 2017)]
[Notices]
[Pages 27256-27257]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12272]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-17-1015]


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 
should be received within 30 days of this notice.

Proposed Project

    The National Electronic Health Records Survey (NEHRS) (OMB Control 
No. 0920-1015, Expires 04/30/2017)-- Reinstatement with Change--
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 (DHHS), acting through NCHS, shall collect statistics on 
``utilization of health care'' in the United States. NEHRS was 
originally designed as a mail supplement to the National Ambulatory 
Medical Care Survey (NAMCS). Questions in NEHRS have been asked in 
NAMCS starting in 2001.
    The purpose of NEHRS is to measure progress toward goals for 
electronic health records (EHRs) adoption. NEHRS target universe 
consists of all non-Federal office-based physicians (excluding those in 
the specialties of anesthesiology, radiology, and pathology) who are 
engaged in direct patient care.
    NEHRS is the principal source of data on national and state-level 
EHR adoption in the United States. In 2008 and 2009, the sample size 
was 2,000 physicians annually. Starting in 2010, the annual sample size 
was increased five-fold, from 2,000 physicians to 10,302 physicians. 
The increased sample size allows for more reliable national estimates 
as well as state-level estimates on EHR adoption without having to be 
combined with NAMCS. For these reasons, in 2012 NEHRS became an 
independent survey, not as a supplement under NAMCS.
    NEHRS collects information on characteristics of physician 
practices, the capabilities of EHRs in those practices, and intent to 
apply for meaningful use incentive payments. These data, together with 
trend data, may be used to monitor the adoption of EHR as well as 
accessing factors associated with EHR adoption. In 2017, a set of 
follow-up questionnaires will be incorporated into the survey that 
focuses on content related to physician attitudes on using EHRs.
    Users of NEHRS data include, but are not limited to, Congressional 
offices, Federal agencies, state and local governments, schools of 
public health, colleges and universities, private industry, nonprofit 
foundations, professional associations, clinicians, researchers, 
administrators, and health planners. There is no cost to the 
respondents other than their time. The total estimated annualized 
burden hours are 6,295.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondent                    Form name            Number of     responses per   per response
                                                                    respondents     respondent        (hours)
----------------------------------------------------------------------------------------------------------------
Office-based physicians...............  NEHRS...................          10,302               1           30/60
Office-based physicians...............  Follow-up NEHRS Elec                 858               1           20/60
                                         Resp.
Office-based physicians...............  Follow-up NEHRS Non-Elec             859               1           20/60
                                         Resp.
Office-based physicians...............  Follow-up NEHRS Nonresp.           1,717               1           20/60
----------------------------------------------------------------------------------------------------------------



[[Page 27257]]

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. 2017-12272 Filed 6-13-17; 8:45 am]
BILLING CODE 4163-18-P



                                                  27256                          Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices

                                                  of lading, the shipment was                                         comments should address any of the                                  supplement to the National Ambulatory
                                                  ‘‘impounded in Algiers, Algeria for                                 following: (a) Evaluate whether the                                 Medical Care Survey (NAMCS).
                                                  approximately four months.’’                                        proposed collection of information is                               Questions in NEHRS have been asked in
                                                  Complainant alleges that this error                                 necessary for the proper performance of                             NAMCS starting in 2001.
                                                  resulted in costs for which complainant                             the functions of the agency, including                                 The purpose of NEHRS is to measure
                                                  would not have otherwise been                                       whether the information will have                                   progress toward goals for electronic
                                                  responsible. Complainant alleges that it                            practical utility; (b) Evaluate the                                 health records (EHRs) adoption. NEHRS
                                                  is ‘‘subject to injury as a result of the                           accuracy of the agencies estimate of the                            target universe consists of all non-
                                                  violations by respondent of sections 46                             burden of the proposed collection of                                Federal office-based physicians
                                                  U.S.C. code § 41104 and more                                        information, including the validity of                              (excluding those in the specialties of
                                                  specifically paragraphs 4 and 5.’’                                  the methodology and assumptions used;                               anesthesiology, radiology, and
                                                     Complainant seeks reparations in the                             (c) Enhance the quality, utility, and                               pathology) who are engaged in direct
                                                  amount of $21,086.70, and other relief.                             clarity of the information to be                                    patient care.
                                                  The full text of the complaint can be                               collected; (d) Minimize the burden of
                                                                                                                      the collection of information on those                                 NEHRS is the principal source of data
                                                  found in the Commission’s Electronic
                                                                                                                      who are to respond, including through                               on national and state-level EHR
                                                  Reading Room at www.fmc.gov/17-06/.
                                                                                                                      the use of appropriate automated,                                   adoption in the United States. In 2008
                                                     This proceeding has been assigned to
                                                                                                                      electronic, mechanical, or other                                    and 2009, the sample size was 2,000
                                                  the Office of Administrative Law Judges.
                                                                                                                      technological collection techniques or                              physicians annually. Starting in 2010,
                                                  The initial decision of the presiding
                                                                                                                      other forms of information technology,                              the annual sample size was increased
                                                  officer in this proceeding shall be issued
                                                                                                                      e.g., permitting electronic submission of                           five-fold, from 2,000 physicians to
                                                  by June 8, 2018, and the final decision
                                                                                                                      responses; and (e) Assess information                               10,302 physicians. The increased
                                                  of the Commission shall be issued by
                                                                                                                      collection costs.                                                   sample size allows for more reliable
                                                  December 21, 2018.
                                                                                                                         To request additional information on                             national estimates as well as state-level
                                                  Rachel E. Dickon,                                                   the proposed project or to obtain a copy                            estimates on EHR adoption without
                                                  Assistant Secretary.                                                of the information collection plan and                              having to be combined with NAMCS.
                                                                                                                      instruments, call (404) 639–7570 or                                 For these reasons, in 2012 NEHRS
                                                  [FR Doc. 2017–12296 Filed 6–13–17; 8:45 am]
                                                                                                                      send an email to omb@cdc.gov. Direct                                became an independent survey, not as a
                                                  BILLING CODE 6731–AA–P
                                                                                                                      written comments and/or suggestions                                 supplement under NAMCS.
                                                                                                                      regarding the items contained in this                                  NEHRS collects information on
                                                                                                                      notice to the Attention: CDC Desk                                   characteristics of physician practices,
                                                  DEPARTMENT OF HEALTH AND                                            Officer, Office of Management and                                   the capabilities of EHRs in those
                                                  HUMAN SERVICES                                                      Budget, Washington, DC 20503 or by fax                              practices, and intent to apply for
                                                                                                                      to (202) 395–5806. Written comments                                 meaningful use incentive payments.
                                                  Centers for Disease Control and
                                                                                                                      should be received within 30 days of                                These data, together with trend data,
                                                  Prevention
                                                                                                                      this notice.                                                        may be used to monitor the adoption of
                                                  [30 Day–17–1015]                                                    Proposed Project                                                    EHR as well as accessing factors
                                                                                                                                                                                          associated with EHR adoption. In 2017,
                                                  Agency Forms Undergoing Paperwork                                     The National Electronic Health                                    a set of follow-up questionnaires will be
                                                  Reduction Act Review                                                Records Survey (NEHRS) (OMB Control                                 incorporated into the survey that
                                                                                                                      No. 0920–1015, Expires 04/30/2017)—                                 focuses on content related to physician
                                                     The Centers for Disease Control and                              Reinstatement with Change—National
                                                  Prevention (CDC) has submitted the                                                                                                      attitudes on using EHRs.
                                                                                                                      Center for Health Statistics (NCHS),
                                                  following information collection request                            Centers for Disease Control and                                        Users of NEHRS data include, but are
                                                  to the Office of Management and Budget                              Prevention (CDC).                                                   not limited to, Congressional offices,
                                                  (OMB) for review and approval in                                                                                                        Federal agencies, state and local
                                                  accordance with the Paperwork                                       Background and Brief Description                                    governments, schools of public health,
                                                  Reduction Act of 1995. The notice for                                 Section 306 of the Public Health                                  colleges and universities, private
                                                  the proposed information collection is                              Service (PHS) Act (42 U.S.C. 242k), as                              industry, nonprofit foundations,
                                                  published to obtain comments from the                               amended, authorizes that the Secretary                              professional associations, clinicians,
                                                  public and affected agencies.                                       of Health and Human Services (DHHS),                                researchers, administrators, and health
                                                     Written comments and suggestions                                 acting through NCHS, shall collect                                  planners. There is no cost to the
                                                  from the public and affected agencies                               statistics on ‘‘utilization of health care’’                        respondents other than their time. The
                                                  concerning the proposed collection of                               in the United States. NEHRS was                                     total estimated annualized burden hours
                                                  information are encouraged. Your                                    originally designed as a mail                                       are 6,295.

                                                                                                                     ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                           Average
                                                                                                                                                                                                           Number of
                                                                                                                                                                                          Number of                      burden per
                                                                   Type of respondent                                                        Form name                                                   responses per
                                                                                                                                                                                         respondents                      response
                                                                                                                                                                                                           respondent      (hours)
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                                                  Office-based     physicians   ..................................   NEHRS ...........................................................         10,302                1         30/60
                                                  Office-based     physicians   ..................................   Follow-up NEHRS Elec Resp ........................                           858                1         20/60
                                                  Office-based     physicians   ..................................   Follow-up NEHRS Non-Elec Resp ................                               859                1         20/60
                                                  Office-based     physicians   ..................................   Follow-up NEHRS Nonresp ...........................                        1,717                1         20/60




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                                                                               Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices                                             27257

                                                  Leroy A. Richardson,                                      2. By regular mail. You may mail                     Incentive Payment System (MIPS); Use:
                                                  Chief, Information Collection Review Office,            written comments to the following                      CMS acknowledges the unique
                                                  Office of Scientific Integrity, Office of the           address: CMS, Office of Strategic                      challenges that small practices and
                                                  Associate Director for Science, Office of the           Operations and Regulatory Affairs,                     practices in rural areas may face with
                                                  Director, Centers for Disease Control and               Division of Regulations Development,                   the implementation of the Quality
                                                  Prevention.                                             Attention: Document Identifier/OMB                     Payment Program. To help support
                                                  [FR Doc. 2017–12272 Filed 6–13–17; 8:45 am]             Control Number lll, Room C4–26–                        these practices and provide them with
                                                  BILLING CODE 4163–18–P                                  05, 7500 Security Boulevard, Baltimore,                additional flexibility, CMS has created a
                                                                                                          Maryland 21244–1850.                                   virtual group reporting option starting
                                                                                                            To obtain copies of a supporting                     with the 2018 MIPS performance
                                                  DEPARTMENT OF HEALTH AND                                statement and any related forms for the                period. CMS held webinars and small,
                                                  HUMAN SERVICES                                          proposed collection(s) summarized in                   interactive feedback sessions to gain
                                                                                                          this notice, you may make your request                 insight from clinicians as we developed
                                                  Centers for Medicare & Medicaid                         using one of following:                                our policies on virtual groups. During
                                                  Services                                                  1. Access CMS’ Web site address at                   these sessions, participants expressed a
                                                                                                          https://www.cms.gov/Regulations-and-                   strong interest in virtual groups, and
                                                  [Document Identifier: CMS–10652]                        Guidance/Legislation/                                  indicated that the right policies could
                                                                                                          PaperworkReductionActof1995/PRA-                       minimize clinician burden and bolster
                                                  Agency Information Collection                           Listing.html.                                          clinician success.
                                                  Activities: Proposed Collection;                          2. Email your request, including your                   This information collection request is
                                                  Comment Request                                         address, phone number, OMB number,                     related to the statutorily required virtual
                                                  AGENCY: Centers for Medicare &                          and CMS document identifier, to                        group election process proposed in the
                                                  Medicaid Services, HHS.                                 Paperwork@cms.hhs.gov.                                 CY 2018 Quality Payment Program
                                                                                                            3. Call the Reports Clearance Office at              proposed rule. A virtual group is a
                                                  ACTION: Notice.
                                                                                                          (410) 786–1326.                                        combination of Tax Identification
                                                  SUMMARY:    The Centers for Medicare &                  FOR FURTHER INFORMATION CONTACT:                       Numbers (TINs), which would include
                                                  Medicaid Services (CMS) is announcing                   William Parham at (410) 786–4669.                      at least two separate TINs associated
                                                  an opportunity for the public to                        SUPPLEMENTARY INFORMATION:                             with a solo practitioner TIN and
                                                  comment on CMS’ intention to collect                                                                           National Provider Identifier (TIN/NPI)
                                                                                                          Contents                                               or group with 10 or fewer MIPS eligible
                                                  information from the public. Under the
                                                  Paperwork Reduction Act of 1995 (the                      This notice sets out a summary of the                clinicians and another solo practitioner
                                                  PRA), federal agencies are required to                  use and burden associated with the                     (TIN/NPI) or group with 10 or fewer
                                                  publish notice in the Federal Register                  following information collections. More                MIPS eligible clinicians.
                                                  concerning each proposed collection of                  detailed information can be found in                      Section 1848(q)(5)(I) of the Act
                                                  information (including each proposed                    each collection’s supporting statement                 requires that CMS establish and have in
                                                  extension or reinstatement of an existing               and associated materials (see                          place a process to allow an individual
                                                  collection of information) and to allow                 ADDRESSES).                                            MIPS eligible clinician or group
                                                  60 days for public comment on the                                                                              consisting of not more than 10 MIPS
                                                                                                          CMS–10652 Virtual Groups for Merit-                    eligible clinicians to elect, with respect
                                                  proposed action. Interested persons are                 Based Incentive Payment System
                                                  invited to send comments regarding our                                                                         to a performance period for a year to be
                                                                                                          (MIPS)                                                 in a virtual group with at least one other
                                                  burden estimates or any other aspect of
                                                  this collection of information, including                 Under the PRA (44 U.S.C. 3501–                       such individual MIPS eligible clinician
                                                  the necessity and utility of the proposed               3520), federal agencies must obtain                    or group. The Act also provides for the
                                                  information collection for the proper                   approval from the Office of Management                 use of voluntary virtual groups for
                                                  performance of the agency’s functions,                  and Budget (OMB) for each collection of                certain assessment purposes, including
                                                  the accuracy of the estimated burden,                   information they conduct or sponsor.                   the election of practices to be a virtual
                                                  ways to enhance the quality, utility, and               The term ‘‘collection of information’’ is              group and the requirements for the
                                                  clarity of the information to be                        defined in 44 U.S.C. 3502(3) and 5 CFR                 election process.
                                                                                                          1320.3(c) and includes agency requests                    Section 1848(q)(5)(I)(i) of the Act also
                                                  collected, and the use of automated
                                                                                                          or requirements that members of the                    provides that MIPS eligible clinicians
                                                  collection techniques or other forms of
                                                                                                          public submit reports, keep records, or                electing to be a virtual group must: (1)
                                                  information technology to minimize the
                                                                                                          provide information to a third party.                  Have their performance assessed for the
                                                  information collection burden.
                                                                                                          Section 3506(c)(2)(A) of the PRA                       quality and cost performance categories
                                                  DATES: Comments must be received by                                                                            in a manner that applies the combined
                                                                                                          requires federal agencies to publish a
                                                  August 14, 2017.                                        60-day notice in the Federal Register                  performance of all the MIPS eligible
                                                  ADDRESSES: When commenting, please                      concerning each proposed collection of                 clinicians in the virtual group to each
                                                  reference the document identifier or                    information, including each proposed                   MIPS eligible clinician in the virtual
                                                  OMB control number. To be assured                       extension or reinstatement of an existing              group for the applicable performance
                                                  consideration, comments and                             collection of information, before                      period; and (2) be scored for the quality
                                                  recommendations must be submitted in                    submitting the collection to OMB for                   and cost performance categories based
                                                  any one of the following ways:                          approval. To comply with this                          on such assessment.
                                                    1. Electronically. You may send your                  requirement, CMS is publishing this                       CMS will use the data collected from
mstockstill on DSK30JT082PROD with NOTICES




                                                  comments electronically to http://                      notice.                                                virtual group representatives to
                                                  www.regulations.gov. Follow the                                                                                determine eligibility to participate in a
                                                  instructions for ‘‘Comment or                           Information Collection                                 virtual group, approve the formation of
                                                  Submission’’ or ‘‘More Search Options’’                   1. Type of Information Collection                    that virtual group, based on
                                                  to find the information collection                      Request: New collection of information                 determination of each TIN size, and
                                                  document(s) that are accepting                          request; Title of Information Collection:              assign a virtual group identifier to the
                                                  comments.                                               Virtual Groups for Merit-Based                         virtual group. The data collected will


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Document Created: 2017-06-14 01:23:35
Document Modified: 2017-06-14 01:23:35
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 Citation82 FR 27256 

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