82 FR 56027 - Proposed Data Collection Submitted for Public Comment and Recommendations

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

Federal Register Volume 82, Issue 226 (November 27, 2017)

Page Range		56027-56028
FR Document		2017-25496

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled the National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS collects facility and visit information on ambulatory care services utilization in non-Federal, short stay hospitals in the United States.

Federal Register, Volume 82 Issue 226 (Monday, November 27, 2017)

[Federal Register Volume 82, Number 226 (Monday, November 27, 2017)]
[Notices]
[Pages 56027-56028]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-25496]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-0278; Docket No. CDC-2017-0101]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing effort to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled the National Hospital Ambulatory 
Medical Care Survey (NHAMCS). NHAMCS collects facility and visit 
information on ambulatory care services utilization in non-Federal, 
short stay hospitals in the United States.

DATES: CDC must receive written comments on or before January 26, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0101 by any of the following methods:
    Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Leroy A. Richardson, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE., MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Leroy A. Richardson, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE., MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION:  Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. 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;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and

[[Page 56028]]

    4. 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 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB 
Control Number 0920-0278, Expiration Date 02/28/2018)--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 (DHHS), acting through NCHS, shall collect statistics on 
``utilization of health care'' in the United States. The National 
Hospital Ambulatory Medical Care Survey (NHAMCS) has conducted annually 
since 1992. NCHS is seeking OMB approval to extend this survey for an 
additional three years.
    The target universe of the NHAMCS is in-person visits made to 
emergency departments (EDs) of non-Federal, short-stay hospitals 
(hospitals with an average length of stay of less than 30 days) that 
have at least six beds for inpatient use, and with a specialty of 
general (medical or surgical) or children's general.
    NHAMCS was initiated to complement the National Ambulatory Medical 
Care Survey (NAMCS, OMB Control Number 0920-0234, Expiration Date 03/
31/2019), which provides similar data concerning patient visits to 
physicians' offices. NAMCS and NHAMCS are the principal sources of data 
on ambulatory care provided in the United States.
    NHAMCS provides a range of baseline data on the characteristics of 
the users and providers of hospital ambulatory medical care. Data 
collected include patients' demographic characteristics, reason(s) for 
visit, providers' diagnoses, diagnostic services, medications, and 
disposition. These data, together with trend data, may be used to 
monitor the effects of change in the health care system, for the 
planning of health services, improving medical education, determining 
health care work force needs, and assessing the health status of the 
population.
    Starting 2018, CDC will implement the ED component of NHAMCS. 
However, between December 2017 and May 2018, the 2017 survey will run 
concurrently with the 2018 survey. This is typical with any data 
collection cycle: It begin in the last month of the preceding year and 
ends around the middle of the following year. For the 2017 data 
collection, CDC will collect information on all three settings (ED, 
OPD, and ASL). For this three-year request, CDC does not expect 
substantive changes or supplements for the survey.
    Users of NHAMCS 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 are no costs to the respondents other than their time. The 
total estimated annualized burden hours are 1,806.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
      Type of respondents           Form name        Number of     responses per   per response    Total burden
                                                    respondents     respondent      (in hours)      (in hours)
----------------------------------------------------------------------------------------------------------------
Hospital Chief Executive        Hospital                      60               1           75/60              75
 Officer.                        Induction 2017
                                 Data Collection.
Hospital Chief Executive        Hospital                     340               1           75/60             425
 Officer.                        Induction 2018+
                                 Data Collection.
Ancillary Service Executive...  Ambulatory Unit              810               1           15/60             203
                                 Induction (ED,
                                 OPD and ASL).
Ancillary Service Executive...  Ambulatory Unit              583               1           15/60             146
                                 Induction (ED
                                 only).
Medical Record Clerk..........  Retrieving                   396             144            1/60             950
                                 Patient Records
                                 (ED, OPD and
                                 ASL).
Ancillary Service Executive--   Reabstraction                 29               1            5/60               2
 Reabstraction.                  Telephone Call
                                 (ED, OPD and
                                 ASL).
Medical Record Clerk--          Pulling and re-               29              10            1/60               5
 Reabstraction.                  filing Patient
                                 Records (ED,
                                 OPD and ASL).
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............           1,806
----------------------------------------------------------------------------------------------------------------


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. 2017-25496 Filed 11-24-17; 8:45 am]
 BILLING CODE 4163-18-P

Federal Register / Vol. 82, No. 226 / Monday, November 27, 2017 / Notices 56027

authorized CDC-recognized these Standards for three years (OMB the Standards. CMS allows for a new
organizations to prepare for enrollment No. 0920–0909, expires 12/31/2017) to recognition status, Preliminary, in
as MDPP suppliers in order to bill CMS continue collecting information needed addition to Pending and Full. MDPP
for these services beginning in 2018; to manage the DPRP. Virtual reimbursement is directly tied to
only organizations in good standing organizations were added in the 2015 Preliminary and Full statuses. The
with the CDC DPRP are eligible as Standards based on new published intent of this current Standards’ revision
MDPP suppliers. CDC anticipates an evidence and to reach a broader is to align with the CMS MDPP that will
additional 500 organizations per year audience. be finalized in 2017 and is scheduled to
will apply for recognition. Two levels of CDC recognition have
go in effect January 1, 2018, and to
Previously, in 2011, CDC received been provided: Pending recognition for
account for new evidence in the type 2
OMB approval to collect organizational new applicants that have submitted an
and de-identified participant application and meet eligibility criteria diabetes prevention literature. The
information needed to administer the defined by the Standards, and Full MDPP benefit will scale type 2 diabetes
DPRP (OMB No. 0920–0909, expired recognition for programs that have prevention programs more broadly.
11/30/2014). In 2015, CDC renewed demonstrated effectiveness according to

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

Public sector organizations that deliver type 2 di- DPRP Application Form 150 1 1 150
abetes prevention programs. DPRP Evaluation Data 350 2 2 1,400
Private sector organizations that deliver type 2 DPRP Application Form 350 1 1 350
diabetes prevention programs. DPRP Evaluation Data 1,444 2 2 5,776

Total ............................................................... ....................................... ........................ ........................ ........................ 7,676

Leroy A. Richardson, Medical Care Survey (NHAMCS). 30329; phone: 404–639–7570; Email:
Chief, Information Collection Review Office, NHAMCS collects facility and visit omb@cdc.gov.
Office of Scientific Integrity, Office of the information on ambulatory care services SUPPLEMENTARY INFORMATION: Under the
Associate Director for Science, Office of the utilization in non-Federal, short stay
Director, Centers for Disease Control and Paperwork Reduction Act of 1995 (PRA)
hospitals in the United States. (44 U.S.C. 3501–3520), Federal agencies
Prevention.
[FR Doc. 2017–25494 Filed 11–24–17; 8:45 am] DATES:CDC must receive written must obtain approval from the Office of
comments on or before January 26, Management and Budget (OMB) for each
BILLING CODE 4163–18–P
2018. collection of information they conduct
or sponsor. In addition, the PRA also
ADDRESSES: You may submit comments, requires Federal agencies to provide a
DEPARTMENT OF HEALTH AND identified by Docket No. CDC–2018–
HUMAN SERVICES 60-day notice in the Federal Register
0101 by any of the following methods: concerning each proposed collection of
Centers for Disease Control and Federal eRulemaking Portal: information, including each new
Prevention Regulations.gov. Follow the instructions proposed collection, each proposed
for submitting comments. extension of existing collection of
[60Day–18–0278; Docket No. CDC–2017– • Mail: Leroy A. Richardson,
0101]
information, and each reinstatement of
Information Collection Review Office, previously approved information
Proposed Data Collection Submitted Centers for Disease Control and collection before submitting the
for Public Comment and Prevention, 1600 Clifton Road NE., MS– collection to the OMB for approval. To
Recommendations D74, Atlanta, Georgia 30329. comply with this requirement, we are
Instructions: All submissions received publishing this notice of a proposed
AGENCY: Centers for Disease Control and must include the agency name and data collection as described below.
Prevention (CDC), Department of Health Docket Number. CDC will post, without The OMB is particularly interested in
and Human Services (HHS). change, all relevant comments to comments that will help:
ACTION: Notice with comment period. Regulations.gov. 1. Evaluate whether the proposed
SUMMARY: The Centers for Disease Please note: Submit all comments collection of information is necessary
Control and Prevention (CDC), as part of through the Federal eRulemaking portal for the proper performance of the
its continuing effort to reduce public (regulations.gov) or by U.S. mail to the functions of the agency, including
burden and maximize the utility of address listed above. whether the information will have
practical utility;
asabaliauskas on DSKBBXCHB2PROD with NOTICES

government information, invites the FOR FURTHER INFORMATION CONTACT: To
general public and other Federal request more information on the 2. Evaluate the accuracy of the
agencies the opportunity to comment on proposed project or to obtain a copy of agency’s estimate of the burden of the
a proposed and/or continuing the information collection plan and proposed collection of information,
information collection, as required by instruments, contact Leroy A. including the validity of the
the Paperwork Reduction Act of 1995. Richardson, Information Collection methodology and assumptions used;
This notice invites comment on a Review Office, Centers for Disease 3. Enhance the quality, utility, and
proposed information collection project Control and Prevention, 1600 Clifton clarity of the information to be
titled the National Hospital Ambulatory Road NE., MS–D74, Atlanta, Georgia collected; and

VerDate Sep<11>2014 16:59 Nov 24, 2017 Jkt 244001 PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 E:\FR\FM\27NON1.SGM 27NON1

56028 Federal Register / Vol. 82, No. 226 / Monday, November 27, 2017 / Notices

4. Minimize the burden of the OMB approval to extend this survey for determining health care work force
collection of information on those who an additional three years. needs, and assessing the health status of
are to respond, including through the The target universe of the NHAMCS is the population.
use of appropriate automated, in-person visits made to emergency Starting 2018, CDC will implement
electronic, mechanical, or other departments (EDs) of non-Federal, short- the ED component of NHAMCS.
technological collection techniques or stay hospitals (hospitals with an average However, between December 2017 and
other forms of information technology, length of stay of less than 30 days) that May 2018, the 2017 survey will run
e.g., permitting electronic submissions have at least six beds for inpatient use, concurrently with the 2018 survey. This
of responses. and with a specialty of general (medical is typical with any data collection cycle:
5. Assess information collection costs. or surgical) or children’s general. It begin in the last month of the
NHAMCS was initiated to preceding year and ends around the
Proposed Project complement the National Ambulatory middle of the following year. For the
Medical Care Survey (NAMCS, OMB 2017 data collection, CDC will collect
National Hospital Ambulatory Control Number 0920–0234, Expiration
Medical Care Survey (NHAMCS) (OMB information on all three settings (ED,
Date 03/31/2019), which provides OPD, and ASL). For this three-year
Control Number 0920–0278, Expiration similar data concerning patient visits to
Date 02/28/2018)—Revision—National request, CDC does not expect
physicians’ offices. NAMCS and
Center for Health Statistics (NCHS), substantive changes or supplements for
NHAMCS are the principal sources of
Centers for Disease Control and the survey.
data on ambulatory care provided in the
Prevention (CDC). United States. Users of NHAMCS data include, but
NHAMCS provides a range of baseline are not limited to, congressional offices,
Background and Brief Description
data on the characteristics of the users Federal agencies, state and local
Section 306 of the Public Health and providers of hospital ambulatory governments, schools of public health,
Service (PHS) Act (42 U.S.C. 242k), as medical care. Data collected include colleges and Universities, private
amended, authorizes that the Secretary patients’ demographic characteristics, industry, nonprofit foundations,
of Health and Human Services (DHHS), reason(s) for visit, providers’ diagnoses, professional associations, clinicians,
acting through NCHS, shall collect diagnostic services, medications, and researchers, administrators, and health
statistics on ‘‘utilization of health care’’ disposition. These data, together with planners.
in the United States. The National trend data, may be used to monitor the There are no costs to the respondents
Hospital Ambulatory Medical Care effects of change in the health care other than their time. The total
Survey (NHAMCS) has conducted system, for the planning of health estimated annualized burden hours are
annually since 1992. NCHS is seeking services, improving medical education, 1,806.

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

Hospital Chief Executive Officer ....... Hospital Induction 2017 Data Col- 60 1 75/60 75
lection.
Hospital Chief Executive Officer ....... Hospital Induction 2018+ Data Col- 340 1 75/60 425
lection.
Ancillary Service Executive ............... Ambulatory Unit Induction (ED, OPD 810 1 15/60 203
and ASL).
Ancillary Service Executive ............... Ambulatory Unit Induction (ED only) 583 1 15/60 146
Medical Record Clerk ....................... Retrieving Patient Records (ED, 396 144 1/60 950
OPD and ASL).
Ancillary Service Executive—Re- Reabstraction Telephone Call (ED, 29 1 5/60 2
abstraction. OPD and ASL).
Medical Record Clerk—Reabstrac- Pulling and re-filing Patient Records 29 10 1/60 5
tion. (ED, OPD and ASL).

Total ........................................... ........................................................... ........................ ........................ ........................ 1,806

Leroy A. Richardson, DEPARTMENT OF HEALTH AND collection request titled ZEN Colombia
Chief, Information Collection Review Office, HUMAN SERVICES Study: Zika in Pregnant Women and
Office of Scientific Integrity, Office of the Children in Colombia to the Office of
Associate Director for Science, Office of the Centers for Disease Control and Management and Budget (OMB) for
Director, Centers for Disease Control and Prevention review and approval. CDC previously
Prevention.
asabaliauskas on DSKBBXCHB2PROD with NOTICES

published a ‘‘Proposed Data Collection
[FR Doc. 2017–25496 Filed 11–24–17; 8:45 am] [30Day–18–1190] Submitted for Public Comment and
BILLING CODE 4163–18–P
Agency Forms Undergoing Paperwork Recommendations’’ notice on August
Reduction Act Review 30, 2017 to obtain comments from the
public and affected agencies. CDC did
In accordance with the Paperwork not receive comments related to the
Reduction Act of 1995, the Centers for previous notice. This notice serves to
Disease Control and Prevention (CDC) allow an additional 30 days for public
has submitted the information and affected agency comments.

VerDate Sep<11>2014 16:59 Nov 24, 2017 Jkt 244001 PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 E:\FR\FM\27NON1.SGM 27NON1

Document Created: 2017-11-25 01:08:50
Document Modified: 2017-11-25 01:08:50

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice with comment period.
Dates		CDC must receive written comments on or before January 26, 2018.
Contact		To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Leroy A. Richardson, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation		82 FR 56027

82 FR 56027 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Disease Control and Prevention

Federal Register Volume 82, Issue 226 (November 27, 2017)

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