[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
[Notices]
[Pages 10089-10090]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05156]



[[Page 10089]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30 Day-19-0234]


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 Ambulatory Medical Care Survey 
(NAMCS) 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 August 10, 
2018 to obtain comments from the public and affected agencies. CDC did 
not receive comments 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 Ambulatory Medical Care Survey (NAMCS) (OMB Control No. 
0920-0234, Exp. Date 03/31/2019)--Revision--National Center for Health 
Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Section 306 of the Public Health Service (PHS) Act (42 U.S.C. 
242k), as amended, authorizes that the Secretary of Health and Human 
Services, acting through NCHS, shall collect statistics on the 
utilization of health care provided by non-federal office-based 
physicians in the United States. On March 14, 2016, the OMB approved 
data collection for three years from 2016 to 2018. This revision is to 
request approval to continue NAMCS data collection activities for three 
years from 2019-2021. The National Ambulatory Medical Care Survey 
(NAMCS) has been conducted intermittently from 1973 through 1985, and 
annually since 1989. The purpose of NAMCS, a voluntary survey, is to 
meet the needs and demands for statistical information about the 
provision of ambulatory medical care services in the United States. 
Ambulatory services are rendered in a wide variety of settings, 
including physicians' offices and hospital outpatient and emergency 
departments.
    The NAMCS target universe consists of all office visits made by 
ambulatory patients to non-Federal office-based physicians (excluding 
those in the specialties of anesthesiology, radiology, and pathology) 
who are engaged in direct patient care. In 2006, physicians and non-
physician clinicians (i.e., nurse practitioners, physician assistants, 
and nurse midwives) practicing in community health centers (CHCs) were 
added to the NAMCS sample, and these data will continue to be 
collected. Having completed data collection on a number of topic areas 
such (a) as the prevention and treatment of sexually transmitted 
infections (STIs) and HIV (STD/PrEP) prevention, (b) culturally and 
linguistically appropriate services, and (c) alcohol and substance 
abuse screening and brief intervention, those items will be 
discontinued in 2019. Likewise, beginning in 2019 some existing 
instrument language will be modified to ensure communication of 
provider informed consent, and certain data items will be modified/
deleted intended to (a) enhance data collection, (b) reduce provider 
burden, and (c) to maintain compliance with the Department of Health 
and Human Services guidance on data collection standards for race and 
ethnicity for self-identification. While the 2018 reabstraction of 
physician visits will continue into the 2019 calendar year, the 2019 
reabstraction of patient visits will be discontinued. The supplemental 
sample of Meaningful Use (MU) physicians will again be fielded in 2020, 
with an increase in the sample size for survey years 2020 and 2021. 
Finally, a reinterview study will be initiated for 2019-2021.
    There is no cost to the respondents other than their time. The 
estimated annual burden hours are 5,039.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                     Number of    Average burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent       (in hrs.)
----------------------------------------------------------------------------------------------------------------
Traditional Office-based Physicians or  2018 Physician Induction             122               1           30/60
 Staff.                                  Interview (NAMCS-1).
                                        2019+ Physician                    1,097               1           30/60
                                         Induction Interview
                                         (NAMCS-1).
                                        2018 Pulling, re-filing               99              30            1/60
                                         medical record forms
                                         (FR abstracts).
                                        2019+ Pulling, re-filing             893              30            1/60
                                         medical record forms
                                         (FR abstracts).
MU Office-based Physician Staff.......  2019+ MU Physician                 2,000               1           45/60
                                         Induction Interview
                                         (NAMCS-PFI).

[[Page 10090]]

 
                                        2019+ Pulling, re-filing           2,000               1           60/60
                                         medical record forms
                                         (MU Onboarding).
Community Health Center Executive/      2018 Induction                        12               1           30/60
 Medical Directors.                      Interview--service
                                         delivery site (NAMCS-
                                         201).
                                        2019+ Induction                      104               1           30/60
                                         Interview--service
                                         delivery site (NAMCS-
                                         201).
Community Health Center Providers.....  2018 Induction                        36               1           30/60
                                         Interview--Providers
                                         (NAMCS-1).
                                        2019+ Induction                      312               1           30/60
                                         Interview--Providers
                                         (NAMCS-1).
Community Health Center Provider Staff  2018 Pulling, re-filing               36              30            1/60
                                         medical record forms
                                         (FR abstracts).
                                        2019+ Pulling, re-filing             312              30            1/60
                                         medical record forms
                                         (FR abstracts).
Traditional Physician Office-based and  2018 Pulling, re-filing                3              10            1/60
 Community Health Center Staff.          medical record forms
                                         (FR abstracts) for the
                                         Reabstraction Study.
Traditional Physician Office-based and  2019+ Reinterview Study.             100               1           15/60
 Community Health Center Staff.
----------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2019-05156 Filed 3-18-19; 8:45 am]
BILLING CODE 4163-18-P