[Federal Register Volume 89, Number 183 (Friday, September 20, 2024)]
[Notices]
[Pages 77158-77159]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-21573]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-0234; Docket No. CDC-2024-0068]
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.
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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 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 Ambulatory Medical Care Survey (NAMCS). The goal of
the project is to assess the health of the population through patient
use of physician and advanced practice provider offices, health centers
(HCs), and to monitor the characteristics of physician and advanced
practice provider practices.
DATES: CDC must receive written comments on or before November 19,
2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0068 by either of the following methods:
Federal eRulemaking Portal: www.regulations.gov. Follow
the instructions for submitting comments.
Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to www.regulations.gov.
Please note: Submit all comments through the Federal eRulemaking
portal (www.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 Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 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;
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; and.
5. Assess information collection costs.
Proposed Project
National Ambulatory Medical Care Survey (NAMCS) (OMB Control No.
0920-0234, Exp. 11/30/2025)--Revision--National Center for Health
Statistics (NCHS), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The National Ambulatory Medical Care Survey (NAMCS) was conducted
intermittently from 1973 through 1985, and annually since 1989. The
survey is conducted under authority of Section 306 of the Public Health
Service Act (42 U.S.C. 242k). NAMCS is part of the ambulatory care
component of the National Health Care Surveys (NHCS), a family of
provider-based surveys that capture health care utilization from a
variety of settings, including hospital inpatient and long-term care
facilities. NCHS surveys of health care providers include NAMCS, the
National Electronic Health Records Survey (NEHRS) (OMB Control No.
0920-1015, Exp. Date 01/31/2027), the National Hospital Care Survey
(NHCS) (OMB Control No. 0920-0212, Exp. Date 12/31/2024), and National
Post-acute and Long-term Care Study (OMB Control No. 0920-0943, Exp.
Date 09/30/2025).
An overarching purpose of NAMCS is to meet the needs and demands
for statistical information about the provision of ambulatory medical
care services in the United States; this fulfills one of NCHS'
missions: to monitor the nation's health. In addition, NAMCS provides
ambulatory medical care data to study: (1) the performance of the U.S.
health care system; (2) care for the rapidly aging population; (3)
changes in services such as health insurance coverage change; (4) the
introduction of new medical technologies; and (5) the use of electronic
health records (EHRs). Ongoing societal changes have led to
considerable diversification in the organization, financing, and
technological delivery of ambulatory medical care. This diversification
is evidenced by the proliferation of insurance and benefit alternatives
for individuals, the development of new forms of physician group
practices and practice arrangements (such as office-based practices
owned by hospitals), the increasing role of advanced practice providers
delivering clinical care, and growth in the number of alternative sites
of care.
Ambulatory services are rendered in a wide variety of settings,
including physician/provider offices and hospital outpatient and
emergency departments. Since more than 65% of ambulatory medical care
visits occur in physician offices, NAMCS provides data on the majority
of ambulatory medical care services. In addition to health care
provided in physician offices and outpatient and emergency departments,
health centers (HCs) play an important role in the health care
community by providing care to people who might not be able to afford
it, otherwise. HCs are local, non-profit, community-owned health care
settings, which serve approximately over 30 million
[[Page 77159]]
individuals throughout the United States.
This revision seeks approval to conduct changes to all three
components of NAMCS. CDC plans to adjust the HC Component and Provider
Survey Component sample sizes. In 2025 the goal is to sample 10,000
advanced practice providers and up to 151 HCs. In 2026 we plan to
sample up to 10,000 physicians and up to 171 HCs if funds allow. If
funds allow, in 2027 we will sample up to 10,000 advanced practice
providers and up to 191 HCs. For 2025-2027, there will be an additional
3,000 providers sampled yearly for the Provider Electronic Component.
Questions on the Provider Facility Interview, Health Center Facility
Interview, and the Ambulatory Care Provider Interview will also be
modified.
CDC requests OMB approval for an estimated 22,107 annual burden
hours. There is no cost to respondents other than their time to
participate.
Estimated Annualized Burden Hours
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Avg. burden
Number of Number of per Total
Type of respondents Form name respondents responses per response burden (in
respondent (in hrs.) hrs.)
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HC's Staff......................... HC Facility Interview 84 1 45/60 63
Questionnaire
(Survey year: 2024).
Prepare and transmit 50 4 60/60 200
EHR for Visit Data
(quarterly) (Survey
year: 2024).
Set-up Fee 17 1 15/60 4
Questionnaire
(Survey year: 2024).
Provider or Staff.................. ACPI (Survey year: 3,333 1 30/60 1,667
2026).
Contact Tracing 3,333 1 10/60 556
(Survey year: 2026).
Advanced Practice Provider or Staff ACPI (Survey year: 6,667 1 30/60 3,334
2025 & 2027).
Contact Tracing 6,667 1 10/60 1,111
(Survey year: 2025 &
2027).
Ambulatory Care Provider's or PFI (Survey year: 3,000 1 45/60 2,250
Group's or Conglomerate's Staff. 2025-2027). 3,000 4 60/60 12,000
Prepare and transmit
Electronic Visit
Data (quarterly)
(Survey year: 2025-
2027).
HC's Staff......................... HC Facility Interview 221 1 45/60 166
Questionnaire
(Survey year: 2025-
2027).
Prepare and transmit 188 4 60/60 752
EHR for Visit Data
(quarterly) (Survey
year: 2025-2027).
Set-up Fee 17 1 15/60 4
Questionnaire
(Survey year: 2025-
2027).
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Total.......................... ..................... ........... .............. ........... 22,107
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2024-21573 Filed 9-19-24; 8:45 am]
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