83_FR_17493 83 FR 17417 - Agency Forms Undergoing Paperwork Reduction Act Review

83 FR 17417 - Agency Forms Undergoing Paperwork Reduction Act Review

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

Federal Register Volume 83, Issue 76 (April 19, 2018)

Page Range17417-17418
FR Document2018-08164

Federal Register, Volume 83 Issue 76 (Thursday, April 19, 2018)
[Federal Register Volume 83, Number 76 (Thursday, April 19, 2018)]
[Notices]
[Pages 17417-17418]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08164]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-18-0278]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled National Hospital Ambulatory Medical Care 
Survey (NHAMCS) to the Office of Management and Budget (OMB) for review 
and approval. CDC previously published a ``Proposed Data Collection 
Submitted for Public Comment and Recommendations'' notice on November 
27, 2017 to obtain comments from the public and affected agencies. CDC 
received one comment related to the previous notice. This notice serves 
to allow an additional 30 days for public and affected agency comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (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, 725 17th 
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide 
written comments within 30 days of notice publication.

Proposed Project

    National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB 
Control Number 0920-0278, Expiration 02/28/2018)--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. The National 
Hospital Ambulatory Medical Care Survey (NHAMCS) has conducted annually 
since 1992. NCHS is seeking OMB approval to reinstate this survey for 
an additional three years, following a brief discontinuation on 
February 28, 2018.
    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 and medical, maternity, children's general, or long term acute 
care.
    NHAMCS was initiated to complement the National Ambulatory Medical 
Care Survey (NAMCS, OMB Control Number 0920-0234, Expiration 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 just the ED component of NHAMCS. 
However, once reinstated the 2017 survey will run concurrently with the 
2018 survey until the final months of pending 2017 data collection have 
been completed. This is typical with any data collection cycle: It 
begins 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 1,251.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
        Type of respondents                   Form name              Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
----------------------------------------------------------------------------------------------------------------
Hospital Chief Executive Officer...  Hospital Induction 2017                  20               1           75/60
                                      Data Collection.
Hospital Chief Executive Officer...  Hospital Induction 2018+                340               1           45/60
                                      Data Collection.
Ancillary Service Executive........  Ambulatory Unit Induction               840               1           15/60
                                      (ED, OPD and ASL).
Ancillary Service Executive........  Ambulatory Unit Induction               578               1           15/60
                                      (ED only).

[[Page 17418]]

 
Medical Record Clerk...............  Retrieving Patient Records              360             102            1/60
                                      (2017 and 2018+ ED, OPD
                                      and ASL).
Ancillary Service Executive--        2018+ Reabstraction                      17               1            5/60
 Reabstraction.                       Telephone Call (1)ED only.
Medical Record Clerk--Reabstraction  2018+ Pulling and re-filing              17              10            1/60
                                      Patient Records (1)ED only.
----------------------------------------------------------------------------------------------------------------


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. 2018-08164 Filed 4-18-18; 8:45 am]
 BILLING CODE 4163-18-P



                                                                                Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices                                               17417

                                               Leroy A. Richardson,                                           (d) Minimize the burden of the                    medical, maternity, children’s general,
                                               Chief, Information Collection Review Office,                 collection of information on those who              or long term acute care.
                                               Office of Scientific Integrity, Office of the                are to respond, including, through the                 NHAMCS was initiated to
                                               Associate Director for Science, Office of the                use of appropriate automated,                       complement the National Ambulatory
                                               Director, Centers for Disease Control and                    electronic, mechanical, or other                    Medical Care Survey (NAMCS, OMB
                                               Prevention.                                                  technological collection techniques or              Control Number 0920–0234, Expiration
                                               [FR Doc. 2018–08147 Filed 4–18–18; 8:45 am]                  other forms of information technology,              03/31/2019), which provides similar
                                               BILLING CODE 4163–18–P                                       e.g., permitting electronic submission of           data concerning patient visits to
                                                                                                            responses; and                                      physicians’ offices. NAMCS and
                                                                                                              (e) Assess information collection                 NHAMCS are the principal sources of
                                               DEPARTMENT OF HEALTH AND                                     costs.                                              data on ambulatory care provided in the
                                               HUMAN SERVICES                                                                                                   United States.
                                                                                                              To request additional information on
                                               Centers for Disease Control and                              the proposed project or to obtain a copy               NHAMCS provides a range of baseline
                                               Prevention                                                   of the information collection plan and              data on the characteristics of the users
                                                                                                            instruments, call (404) 639–7570 or                 and providers of hospital ambulatory
                                               [30Day–18–0278]                                              send an email to omb@cdc.gov. Direct                medical care. Data collected include
                                                                                                            written comments and/or suggestions                 patients’ demographic characteristics,
                                               Agency Forms Undergoing Paperwork                            regarding the items contained in this               reason(s) for visit, providers’ diagnoses,
                                               Reduction Act Review                                         notice to the Attention: CDC Desk                   diagnostic services, medications, and
                                                  In accordance with the Paperwork                          Officer, Office of Management and                   disposition. These data, together with
                                               Reduction Act of 1995, the Centers for                       Budget, 725 17th Street NW,                         trend data, may be used to monitor the
                                               Disease Control and Prevention (CDC)                         Washington, DC 20503 or by fax to (202)             effects of change in the health care
                                               has submitted the information                                395–5806. Provide written comments                  system, for the planning of health
                                               collection request titled National                           within 30 days of notice publication.               services, improving medical education,
                                               Hospital Ambulatory Medical Care                                                                                 determining health care work force
                                                                                                            Proposed Project                                    needs, and assessing the health status of
                                               Survey (NHAMCS) to the Office of
                                               Management and Budget (OMB) for                                National Hospital Ambulatory                      the population.
                                               review and approval. CDC previously                          Medical Care Survey (NHAMCS) (OMB                      Starting 2018, CDC will implement
                                               published a ‘‘Proposed Data Collection                       Control Number 0920–0278, Expiration                just the ED component of NHAMCS.
                                               Submitted for Public Comment and                             02/28/2018)—Reinstatement with                      However, once reinstated the 2017
                                               Recommendations’’ notice on November                         change—National Center for Health                   survey will run concurrently with the
                                               27, 2017 to obtain comments from the                         Statistics (NCHS), Centers for Disease              2018 survey until the final months of
                                               public and affected agencies. CDC                            Control and Prevention (CDC).                       pending 2017 data collection have been
                                               received one comment related to the                                                                              completed. This is typical with any data
                                                                                                            Background and Brief Description
                                               previous notice. This notice serves to                                                                           collection cycle: It begins in the last
                                               allow an additional 30 days for public                         Section 306 of the Public Health                  month of the preceding year and ends
                                               and affected agency comments.                                Service (PHS) Act (42 U.S.C. 242k), as              around the middle of the following year.
                                                  CDC will accept all comments for this                     amended, authorizes that the Secretary              For the 2017 data collection, CDC will
                                               proposed information collection project.                     of Health and Human Services (DHHS),                collect information on all three settings
                                               The Office of Management and Budget                          acting through NCHS, shall collect                  (ED, OPD, and ASL). For this three-year
                                               is particularly interested in comments                       statistics on ‘‘utilization of health care’’        request, CDC does not expect
                                               that:                                                        in the United States. The National                  substantive changes or supplements for
                                                  (a) Evaluate whether the proposed                         Hospital Ambulatory Medical Care                    the survey.
                                               collection of information is necessary                       Survey (NHAMCS) has conducted                          Users of NHAMCS data include, but
                                               for the proper performance of the                            annually since 1992. NCHS is seeking                are not limited to, congressional offices,
                                               functions of the agency, including                           OMB approval to reinstate this survey               Federal agencies, state and local
                                               whether the information will have                            for an additional three years, following            governments, schools of public health,
                                               practical utility;                                           a brief discontinuation on February 28,             colleges and Universities, private
                                                  (b) Evaluate the accuracy of the                          2018.                                               industry, nonprofit foundations,
                                               agencies estimate of the burden of the                         The target universe of the NHAMCS is              professional associations, clinicians,
                                               proposed collection of information,                          in-person visits made to emergency                  researchers, administrators, and health
                                               including the validity of the                                departments (EDs) of non-Federal, short-            planners.
                                               methodology and assumptions used;                            stay hospitals (hospitals with an average              There are no costs to the respondents
                                                  (c) Enhance the quality, utility, and                     length of stay of less than 30 days) that           other than their time. The total
                                               clarity of the information to be                             have at least six beds for inpatient use,           estimated annualized burden hours are
                                               collected;                                                   and with a specialty of general and                 1,251.

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

                                               Hospital Chief Executive Officer .....................      Hospital Induction 2017 Data Collection ........                20                 1          75/60
                                               Hospital Chief Executive Officer .....................      Hospital Induction 2018+ Data Collection .....                 340                 1          45/60
                                               Ancillary Service Executive .............................   Ambulatory Unit Induction (ED, OPD and                         840                 1          15/60
                                                                                                             ASL).
                                               Ancillary Service Executive .............................   Ambulatory Unit Induction (ED only) .............              578                 1          15/60



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                                               17418                             Federal Register / Vol. 83, No. 76 / Thursday, April 19, 2018 / Notices

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

                                               Medical Record Clerk .....................................   Retrieving Patient Records (2017 and 2018+                     360              102            1/60
                                                                                                              ED, OPD and ASL).
                                               Ancillary Service Executive—Reabstraction ...                2018+ Reabstraction Telephone Call (1)ED                        17                 1           5/60
                                                                                                              only.
                                               Medical Record Clerk—Reabstraction ............              2018+ Pulling and re-filing Patient Records                     17                10           1/60
                                                                                                              (1)ED only.



                                               Leroy A. Richardson,                                            (c) Enhance the quality, utility, and                CDC proposes to continue collecting
                                               Chief, Information Collection Review Office,                  clarity of the information to be                    passenger-level, epidemiologic,
                                               Office of Scientific Integrity, Office of the                 collected;                                          demographic, and health status data
                                               Associate Director for Science, Office of the                   (d) Minimize the burden of the                    from state/local Health Departments and
                                               Director, Centers for Disease Control and                     collection of information on those who              maritime operators at the conclusion of
                                               Prevention.                                                   are to respond, including, through the              contact investigations of individuals
                                               [FR Doc. 2018–08164 Filed 4–18–18; 8:45 am]                   use of appropriate automated,                       believed to have been exposed to a
                                               BILLING CODE 4163–18–P                                        electronic, mechanical, or other                    communicable disease during travel.
                                                                                                             technological collection techniques or              Health departments or maritime
                                                                                                             other forms of information technology,              operators will obtain the information for
                                               DEPARTMENT OF HEALTH AND                                      e.g., permitting electronic submission of           CDC while conducting contact
                                               HUMAN SERVICES                                                responses; and                                      investigations according to their
                                                                                                               (e) Assess information collection                 established policies and procedures.
                                               Centers for Disease Control and                               costs.
                                               Prevention                                                                                                           The current information collection
                                                                                                               To request additional information on              request includes forms that are specific
                                                                                                             the proposed project or to obtain a copy            to investigations about Tuberculosis
                                               [30Day–18–0900]                                               of the information collection plan and              (TB), Measles, and Rubella. The request
                                                                                                             instruments, call (404) 639–7570 or                 also includes a General form for other
                                               Agency Forms Undergoing Paperwork                             send an email to omb@cdc.gov. Direct
                                               Reduction Act Review                                                                                              diseases of public health concern. In
                                                                                                             written comments and/or suggestions                 2011, OMB initially approved the forms
                                                                                                             regarding the items contained in this               to facilitate the collection and reporting
                                                  In accordance with the Paperwork
                                                                                                             notice to the Attention: CDC Desk                   of pertinent information. Prior to 2011,
                                               Reduction Act of 1995, the Centers for
                                                                                                             Officer, Office of Management and                   there were no standardized tools for
                                               Disease Control and Prevention (CDC)
                                                                                                             Budget, 725 17th Street NW,                         health departments and maritime
                                               has submitted the information
                                                                                                             Washington, DC 20503 or by fax to (202)             operators to report the outcomes of state
                                               collection request titled Contact
                                                                                                             395–5806. Provide written comments                  or vessel contact investigations to CDC.
                                               Investigation Outcome Reporting Forms
                                                                                                             within 30 days of notice publication.
                                               to the Office of Management and Budget                                                                               The collected information will assist
                                               (OMB) for review and approval. CDC                            Proposed Project                                    CDC in fulfilling its regulatory
                                               previously published a ‘‘Proposed Data                          Contact Investigation Outcome                     responsibility to prevent the
                                               Collection Submitted for Public                               Reporting Forms (OMB Control Number                 importation of communicable diseases
                                               Comment and Recommendations’’                                 0920–0900, expiration date 06/30/                   from foreign countries (42 CFR part 71)
                                               notice on October 13, 2017 to obtain                          2018)—Revision—National Center for                  and interstate control of communicable
                                               comments from the public and affected                         Emerging and Zoonotic Infectious                    diseases in humans (42 CFR part 70).
                                               agencies. CDC did not receive comments                        Diseases (NCEZID), Centers for Disease              This information collection is also a
                                               related to the previous notice. This                          Control and Prevention (CDC).                       critical piece of the standard operating
                                               notice serves to allow an additional 30                                                                           procedures carried out by the 20
                                               days for public and affected agency                           Background and Brief Description                    Quarantine Stations placed at key ports
                                               comments.                                                        CDC’s Division of Global Migration               of entry around the United States. The
                                                  CDC will accept all comments for this                      and Quarantine has a regulatory and                 purpose of all forms is the same: to
                                               proposed information collection project.                      public health mission to prevent the                facilitate the collection of information
                                               The Office of Management and Budget                           importation and spread of                           by public health partners to help CDC
                                               is particularly interested in comments                        communicable disease into and within                quarantine officials fully understand the
                                               that:                                                         the United States. CDC works towards                extent of disease spread and
                                                  (a) Evaluate whether the proposed                          fulfilling this mission through a number            transmission during travel and to inform
                                               collection of information is necessary                        of activities carried out at Quarantine             the development and or refinement of
                                               for the proper performance of the                             Stations strategically placed at 20 U.S.            investigative protocols aimed at
                                               functions of the agency, including                            ports of entry as well as coordinating              reducing the spread of communicable
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                                               whether the information will have                             activities at CDC headquarters in                   disease.
                                               practical utility;                                            Atlanta, Georgia. A key portion of this                The respondents, state and local
                                                  (b) Evaluate the accuracy of the                           mission is responding to reports of                 health departments and maritime
                                               agencies estimate of the burden of the                        illness or death on air and maritime                conveyance operators (e.g., Cruise Ship
                                               proposed collection of information,                           conveyances and investigating any                   Medical Staff/Cargo Ship Managers),
                                               including the validity of the                                 potential exposures to determine if                 may use the standardized forms to
                                               methodology and assumptions used;                             public health follow up is needed.                  submit data voluntarily to CDC via a


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Document Created: 2018-04-19 00:40:49
Document Modified: 2018-04-19 00:40:49
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 Citation83 FR 17417 

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