[Federal Register Volume 79, Number 118 (Thursday, June 19, 2014)]
[Notices]
[Pages 35161-35163]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-14360]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-14-0234]


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 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

[[Page 35162]]

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 Ambulatory Medical Care Survey (NAMCS), (OMB No. 0920-0234 
exp. 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 the 
utilization of health care provided by non-federal office-based 
physicians in the United States. On December 13, 2011, the Office of 
Management and Budget (OMB) approved data collection for three years 
from 2012 to 2014. This revision is to request approval to continue 
NAMCS data collection activities for three years from 2015-2017, make 
minor modifications to survey content, and to collect additional 
questions on alcohol screening practices. This notice also covers 
potential increases in sample size that might result due to other 
future budget allocations.
    NAMCS was conducted annually from 1973 to 1981, again in 1985, and 
resumed as an annual survey in 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 mid-
level providers (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.
    To complement NAMCS data, NCHS initiated the National Hospital 
Ambulatory Medical Care Survey (NHAMCS, OMB No. 0920-0278) in 1992 to 
provide data concerning patient visits to hospital outpatient and 
emergency departments. NAMCS and NHAMCS are the principal sources of 
data on ambulatory care provided in the United States.
    A three-year clearance is requested. There is no cost to the 
respondents other than their time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
      Type of respondent            Form name       respondents    responses per   response  (in       hours
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Office-based physicians (Core   Physician                  4,999               1           45/60           3,749
 and Expansion Sample).          Induction
                                 Interview
                                 (NAMCS-1).
                                Patient Record             1,000              30           14/60           7,000
                                 form (NAMCS-30)
                                 (Physician
                                 abstracts on
                                 web-based
                                 Centurion).
                                Pulling, re-               3,999              30            1/60           2,000
                                 filing medical
                                 record forms
                                 (FR abstracts).
Office-based physicians         Physician                  6,012               1           45/60           4,509
 (Contingency Sample).           Induction
                                 Interview
                                 (NAMCS-1).
                                Patient Record             1,202              30           14/60           8,414
                                 form (NAMCS-30)
                                 (Physician
                                 abstracts on
                                 web-based
                                 Centurion).
                                Pulling, re-               4,809              30            1/60           2,405
                                 filing medical
                                 record forms
                                 (FR abstracts).
Community Health Centers (Core  Induction                  1,156               1           20/60             385
 and Expansion Sample).          Interview--serv
                                 ice delivery
                                 site (NAMCS-
                                 201).
                                Induction                  2,312               1           45/60           1,734
                                 Interview--Prov
                                 iders.
                                Patient Record               462              30           14/60           3,234
                                 form (NAMCS-30)
                                 (Provider
                                 abstracts).
                                Pulling, re-                1850              30            1/60             925
                                 filing medical
                                 record forms
                                 (FR abstracts).
Community Health Centers        Induction                    904               1           20/60             301
 (Contingency Sample).           Interview--serv
                                 ice delivery
                                 site (NAMCS-
                                 201).
                                Induction                  1,808               1           45/60           1,356
                                 Interview--Prov
                                 iders.
                                Patient Record               362              30           14/60           2,534
                                 form (NAMCS-30).
                                (Provider
                                 abstracts).
                                Pulling, re-               1,446              30            1/60             723
                                 filing medical
                                 record forms
                                 (FR abstracts).

[[Page 35163]]

 
Re-abstraction study..........  Pulling, re-                 500              10            1/60              83
                                 filing medical
                                 record forms
                                 (FR abstracts).
                                                 ---------------------------------------------------------------
    Total.....................  ................  ..............  ..............  ..............          39,352
----------------------------------------------------------------------------------------------------------------


Leroy 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. 2014-14360 Filed 6-18-14; 8:45 am]
BILLING CODE 4163-18-P