[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]]
-----------------------------------------------------------------------
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