Agency Forms Undergoing Paperwork Reduction Act Review, 68464-68465 [2011-28580]
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68464
Federal Register / Vol. 76, No. 214 / Friday, November 4, 2011 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Average
burden per
response
(in hours)
Number
responses per
respondent
Number of
respondents
Total burden
hours
Type of respondent
Form name
Immigrants from Burma and Descendents.
Eligibility Screening Survey .............
184
1
5/60
15
Informed Consent ............................
Interview Questionnaire ...................
Network Size Questions for Respondent Driven Sampling.
100
100
100
1
1
1
1/60
1
5/60
2
100
8
..........................................................
........................
........................
........................
1,421
Total ...........................................
Dated: October 28, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–28564 Filed 11–3–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–12–0234]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an
email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB No. 0920–0234
exp. 03/31/2013)—Revision—National
Center for Health Statistics (NCHS),
Centers for Disease Control and
Prevention (CDC).
mstockstill on DSK4VPTVN1PROD with NOTICES
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 nonfederal officebased physicians in the United States.
This revision is to notify the public of
significant changes proposed for
VerDate Mar<15>2010
17:06 Nov 03, 2011
Jkt 226001
NAMCS for the 2012–2014 survey
period. On July 13, 2010, a notice was
published in the Federal Register (pages
39947–39948) which notified the public
that the President’s fiscal year 2011
budget requested Congress to consider a
budget increase. It also mentioned that
budget increases might be forthcoming
from other sources. Funds have now
been received from the Patient
Protection and Affordable Care Act to
significantly increase the survey sample
size to produce state estimates for 34
states. The 2012 NAMCS will include
an additional sample of over 15,600
physicians/providers. A three-year
clearance is requested.
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 physician 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.
NAMCS provides a range of baseline
data on the characteristics of the users
and providers of ambulatory medical
care. Data collected include the patients’
demographic characteristics, reason(s)
for visit, provider diagnoses, diagnostic
services, medications, and visit
disposition.
Additionally, NAMCS data collection
will transition to computerized data
collection, so that induction interviews
PO 00000
Frm 00070
Fmt 4703
Sfmt 4703
and patient record information will be
entered into laptops that meet the
government’s security requirements.
This effort will greatly reduce
paperwork and will increase efficiency
in data processing. Data collection
activities, including questions asked,
will be similar to current procedures.
NAMCS will also add questions
concerning the physician’s use of
complementary alternative medicine,
conduct an asthma management
supplement as well as a lookback
module based on successful pretests in
2011.
Specifically, the information on the
physician’s utilization of
complementary and alternative
medicine (CAM) will be collected
through additional questions added to
the Physician Induction Interview.
Adding these questions will allow the
National Institutes of Health/National
Center for Complementary and
Alternative Medicine (NCCAM) to
estimate the frequency of referrals and
use of CAM by conventional providers,
which has never been collected before
on a large-scale national survey.
Because the majority of providers who
use CAM do so in conjunction with
conventional medicine, it is important
to find out the extent to which
conventional providers are integrating
CAM into their treatment plans.
The asthma supplement will collect
information on the clinical decisions
providers make when confronted with a
patient suffering from asthma. The
lookback module will collect additional
information from the 12 month period
prior to a sampled visit, which will
identify risk factors and clinical
management of patients with conditions
that put them at high risk for heart
disease and stroke.
A supplemental mail survey on the
adoption and use of electronic health
records (EHRs) in physician offices was
added to NAMCS in 2008, and will
continue. These data were requested by
the Office of the National Coordinator
for Health Information Technology
E:\FR\FM\04NON1.SGM
04NON1
68465
Federal Register / Vol. 76, No. 214 / Friday, November 4, 2011 / Notices
(ONC), Department of Health and
Human Services, to measure progress
toward goals for EHR adoption. The
mail survey will collect information on
characteristics of physician practices
and the capabilities of EHRs used in
those practices. Additional information
on physician experiences with EHRs
will continue to be collected through
the Physician Workflow Supplement
(PWS), which was added in 2011. The
PWS collects information on
experiences physicians are having with
EHRs in terms of benefits and barriers,
costs, attitudes, and impact of EHRs on
their clinical workflow.
In 2012, NAMCS plans on conducting
a pretest for assessing the feasibility of
developing nationally-representative
estimates of payments for care in
physician offices through the collection
of Current Procedural Terminology
(CPT) codes.
Users of NAMCS 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. NCHS is seeking OMB
approval to extend this survey for an
additional three years.
There is no cost to respondents other
than their time to participate. The total
estimated annualized burden hours are
59,998.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of form
Type of respondent
Form name
Core NAMCS Forms .............
Office-based physicians/CHC
providers.
Community Health Center
Directors.
Physician Induction Interview
(NAMCS–1).
Community Health Center Induction Interview
(NAMCS–201).
Patient Record form
(NAMCS–30).
Pulling, re-filing Patient
Record form (NAMCS–30).
Lookback module .................
35/60
2,008
1
20/60
3,248
30
14/60
12,989
30
1/60
5,683
15
10/60
Asthma Supplement .............
10,554
1
20/60
NEHRS form .........................
4,344
1
20/60
Office-based physicians .......
PWS form .............................
2,645
1
30/60
Office-based physicians .......
Physician Induction Interview
(NAMCS–1).
Patient Record form
(NAMCS–30).
17
1
35/60
17
30
14/60
Office-based physicians/CHC
providers.
Office-based physicians/CHC
providers.
Office-based physicians .......
Dated: October 28, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease
Control and Prevention.
[FR Doc. 2011–28580 Filed 11–3–11; 8:45 am]
BILLING CODE 4163–18–P
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–5806. Written
comments should be received within 30
days of this notice.
Proposed Project
Centers for Disease Control and
Prevention
Use of Evidence-Based Practices for
Comprehensive Cancer Control—New—
National Center on Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
[30Day–12–11KA]
Background and Brief Description
Agency Forms Undergoing Paperwork
Reduction Act Review
There have been increasing calls in
the fields of public health generally and
cancer control specifically for the
dissemination, adoption, and
implementation of evidence-based
practices (EBPs). EBPs are public health
practices (interventions, programs,
strategies, policies, procedures,
processes, and/or activities) that have
been tested or evaluated and shown to
be effective. However, while the
development, review, and compilation
of EBPs has steadily increased over
mstockstill on DSK4VPTVN1PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an
email to omb@cdc.gov. Send written
17:06 Nov 03, 2011
Hours per
response
1
Office-based physicians .......
VerDate Mar<15>2010
Number of
responses per
respondent
16,237
Office-based physicians/CHC
providers.
Office/CHC staff ....................
National Electronic Health
Records Survey (NEHRS).
Physician Workflow Survey
(PWS).
Pretest NAMCS Forms ..........
Number of
respondents
Jkt 226001
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
time, there is concern that the adoption
and implementation of those practices,
including among cancer control
planners and practitioners, has not kept
pace. Given the gap between the
development of EBPs and their use,
public health and cancer control
organizations need to place greater
emphasis on the promotion and
dissemination of these practices among
those who can use them to improve
population health. While efforts to
promote cancer control EBPs have
increased, questions remain whether
these efforts will result in widespread
adoption and implementation of EBPs
in the context of comprehensive cancer
control (CCC) in the states, Tribes, and
U.S. Associated Pacific Island
Jurisdictions and territories. National
Comprehensive Cancer Control Program
(NCCCP) grantees may face a number of
challenges to incorporating EBPs into
CCC efforts in their jurisdictions. In
order to address these barriers
effectively and better promote the use of
EBPs for cancer control, CDC would like
to understand (1) how evidence-based
E:\FR\FM\04NON1.SGM
04NON1
]]>Agencies
[Federal Register Volume 76, Number 214 (Friday, November 4, 2011)]
[Notices]
[Pages 68464-68465]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-28580]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-12-0234]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an email to
omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
National Ambulatory Medical Care Survey (NAMCS) (OMB No. 0920-0234
exp. 03/31/2013)--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 nonfederal office-based
physicians in the United States.
This revision is to notify the public of significant changes
proposed for NAMCS for the 2012-2014 survey period. On July 13, 2010, a
notice was published in the Federal Register (pages 39947-39948) which
notified the public that the President's fiscal year 2011 budget
requested Congress to consider a budget increase. It also mentioned
that budget increases might be forthcoming from other sources. Funds
have now been received from the Patient Protection and Affordable Care
Act to significantly increase the survey sample size to produce state
estimates for 34 states. The 2012 NAMCS will include an additional
sample of over 15,600 physicians/providers. A three-year clearance is
requested.
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 physician 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. NAMCS provides a range of baseline data on the
characteristics of the users and providers of ambulatory medical care.
Data collected include the patients' demographic characteristics,
reason(s) for visit, provider diagnoses, diagnostic services,
medications, and visit disposition.
Additionally, NAMCS data collection will transition to computerized
data collection, so that induction interviews and patient record
information will be entered into laptops that meet the government's
security requirements. This effort will greatly reduce paperwork and
will increase efficiency in data processing. Data collection
activities, including questions asked, will be similar to current
procedures.
NAMCS will also add questions concerning the physician's use of
complementary alternative medicine, conduct an asthma management
supplement as well as a lookback module based on successful pretests in
2011.
Specifically, the information on the physician's utilization of
complementary and alternative medicine (CAM) will be collected through
additional questions added to the Physician Induction Interview. Adding
these questions will allow the National Institutes of Health/National
Center for Complementary and Alternative Medicine (NCCAM) to estimate
the frequency of referrals and use of CAM by conventional providers,
which has never been collected before on a large-scale national survey.
Because the majority of providers who use CAM do so in conjunction with
conventional medicine, it is important to find out the extent to which
conventional providers are integrating CAM into their treatment plans.
The asthma supplement will collect information on the clinical
decisions providers make when confronted with a patient suffering from
asthma. The lookback module will collect additional information from
the 12 month period prior to a sampled visit, which will identify risk
factors and clinical management of patients with conditions that put
them at high risk for heart disease and stroke.
A supplemental mail survey on the adoption and use of electronic
health records (EHRs) in physician offices was added to NAMCS in 2008,
and will continue. These data were requested by the Office of the
National Coordinator for Health Information Technology
[[Page 68465]]
(ONC), Department of Health and Human Services, to measure progress
toward goals for EHR adoption. The mail survey will collect information
on characteristics of physician practices and the capabilities of EHRs
used in those practices. Additional information on physician
experiences with EHRs will continue to be collected through the
Physician Workflow Supplement (PWS), which was added in 2011. The PWS
collects information on experiences physicians are having with EHRs in
terms of benefits and barriers, costs, attitudes, and impact of EHRs on
their clinical workflow.
In 2012, NAMCS plans on conducting a pretest for assessing the
feasibility of developing nationally-representative estimates of
payments for care in physician offices through the collection of
Current Procedural Terminology (CPT) codes.
Users of NAMCS 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. NCHS is seeking OMB approval to
extend this survey for an additional three years.
There is no cost to respondents other than their time to
participate. The total estimated annualized burden hours are 59,998.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Type of form Type of Form name Number of responses per Hours per
respondent respondents respondent response
----------------------------------------------------------------------------------------------------------------
Core NAMCS Forms............. Office-based Physician 16,237 1 35/60
physicians/CHC Induction
providers. Interview
(NAMCS-1).
Community Health Community 2,008 1 20/60
Center Health Center
Directors. Induction
Interview
(NAMCS-201).
Office-based Patient Record 3,248 30 14/60
physicians/CHC form (NAMCS-
providers. 30).
Office/CHC staff Pulling, re- 12,989 30 1/60
filing Patient
Record form
(NAMCS-30).
Office-based Lookback module 5,683 15 10/60
physicians/CHC
providers.
Office-based Asthma 10,554 1 20/60
physicians/CHC Supplement.
providers.
National Electronic Health Office-based NEHRS form..... 4,344 1 20/60
Records Survey (NEHRS). physicians.
Physician Workflow Survey Office-based PWS form....... 2,645 1 30/60
(PWS). physicians.
Pretest NAMCS Forms.......... Office-based Physician 17 1 35/60
physicians. Induction
Interview
(NAMCS-1).
Office-based Patient Record 17 30 14/60
physicians. form (NAMCS-
30).
----------------------------------------------------------------------------------------------------------------
Dated: October 28, 2011.
Daniel Holcomb,
Reports Clearance Officer, Centers for Disease Control and Prevention.
[FR Doc. 2011-28580 Filed 11-3-11; 8:45 am]
BILLING CODE 4163-18-P
