[Federal Register Volume 79, Number 162 (Thursday, August 21, 2014)]
[Notices]
[Pages 49520-49521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-19826]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-14-0278]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    The Centers for Disease Control and Prevention (CDC), as part of 
its continuing effort to reduce public burden, invites the general 
public and other Federal agencies to take this opportunity to comment 
on proposed and/or continuing information collections, as required by 
the Paperwork Reduction Act of 1995. To request more information on the 
below proposed project or to obtain a copy of the information 
collection plan and instruments, call 404-639-7570 or send comments to 
Leroy A. Richardson, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or 
send an email to [email protected].
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
(OMB) approval. Comments are invited on: (a) Whether the proposed 
collection of information is necessary for the proper performance of 
the functions of the agency, including whether the information shall 
have practical utility; (b) the accuracy of the agency's estimate of 
the burden of the proposed collection of information; (c) ways to 
enhance the quality, utility, and clarity of the information to be 
collected; (d) ways to minimize the burden of the collection of 
information on respondents, including through the use of automated 
collection techniques or other forms of information technology; and (e) 
estimates of capital or start-up costs and costs of operation, 
maintenance, and purchase of services to provide information. Burden 
means the total time, effort, or financial resources expended by 
persons to generate, maintain, retain, disclose or provide information 
to or for a Federal agency. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information, to search data sources, to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. Written comments should be received within 60 
days of this notice.

Proposed Project

    National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB 
Control No. 0920-0278, expires 12/31/2014)--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 been conducted 
annually since 1992. NCHS is seeking OMB approval to extend this survey 
for an additional three years and make minor modifications to survey 
questionnaires.
    The purpose of NHAMCS is to meet the needs and demands for 
statistical information about the provision of ambulatory medical care 
services in the United States. Ambulatory services are rendered in a 
wide variety of settings, including physicians' offices and hospital 
outpatient and emergency departments. The target universe of the NHAMCS 
is in-person visits made to outpatient departments (OPDs), emergency 
departments (EDs), and ambulatory surgery locations (ASLs) of non-
Federal, short-stay hospitals (hospitals with an average length of stay 
of less than 30 days) or those whose specialty is general (medical or 
surgical) or children's general.
    NHAMCS was initiated to complement the National Ambulatory Medical 
Care Survey (NAMCS, OMB No. 0920-0234), which provides similar data 
concerning patient visits to physicians' offices. NAMCS and NHAMCS are 
the principal sources of

[[Page 49521]]

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.
    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.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Number of    Average burden
               Type of respondent                               Form name                    Number of     responses per   per response    Total burden
                                                                                            respondents     respondent      (in hours)         hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hospital Chief Executive Officer...............  Hospital Induction.....................             458               1             1.5             687
Ancillary Service Executive....................  Ambulatory Unit Induction..............           1,750               1           15/60             438
Physician/Registered Nurse/Medical Record Clerk  ED Patient Record form.................              33             100            7/60             385
Physician/Registered Nurse/Medical Record Clerk  OPD Patient Record form................              23             200           14/60           1,073
Physician/Registered Nurse/Medical Record Clerk  AS Patient Record Form.................              23             100            7/60             268
Medical Record Clerk...........................  Retrieving Patient Records (ED, OPD,                696             133            1/60           1,543
                                                  and AS).
Ancillary Service Executive--Reabstraction.....  Reabstraction Telephone Call...........              72               1            5/60               6
Medical Record Clerk--Reabstraction............  Pulling and re-filing Patient Records                72              10            1/60              12
                                                  (ED, OPD, and AS).
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............           4,412
--------------------------------------------------------------------------------------------------------------------------------------------------------


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. 2014-19826 Filed 8-20-14; 8:45 am]
BILLING CODE 4163-18-P