Proposed Data Collections Submitted for Public Comment and Recommendations, 14709-14710 [2014-05801]
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Federal Register / Vol. 78, No. 51 / Monday, March 17, 2014 / Notices
must propose first or second aural
reception service or first local
commercial Tribal-owned transmission
service to the proposed community of
license, which must be located on Tribal
lands. Applicants claiming Section
307(b) preferences using these factors
will submit information to substantiate
their claims.
On March 3, 2011, the Commission
adopted a Second Report and Order
(‘‘Second R&O’’), First Order on
Reconsideration, and Second Further
Notice of Proposed Rule Making in MB
Docket No. 09–52, FCC 11–28. The First
Order on Reconsideration modified the
initially adopted Tribal Priority
coverage requirement, by creating an
alternate coverage standard under
criterion (2), enabling Tribes to qualify
for the Tribal Priority even when their
Tribal lands are too small or irregularly
shaped to comprise 50 percent of a
station’s signal. In such circumstances,
Tribes may claim the priority (i) if the
proposed principal community contour
encompasses 50 percent or more of that
Tribe’s Tribal lands, but does not cover
more than 50 percent of the Tribal lands
of a non-applicant Tribe; (ii) serves at
least 2,000 people living on Tribal
lands, and (iii) the total population on
Tribal lands residing within the
station’s service contour constitutes at
least 50 percent of the total covered
population, with provision for waivers
as necessary to effectuate the goals of
the Tribal Priority. This modification
will now enable Tribes with small or
irregularly shaped lands to qualify for
the Tribal Priority.
The modifications to the
Commission’s allotment and assignment
policies adopted in the Second R&O
included a rebuttable ‘‘Urbanized Area
service presumption’’ under Priority (3),
whereby an application to locate or
relocate a station as the first local
transmission service at a community
located within an Urbanized Area, that
would place a daytime principal
community signal over 50 percent or
more of an Urbanized Area, or that
could be modified to provide such
coverage, will be presumed to be a
proposal to serve the Urbanized Area
rather than the proposed community. In
the case of an AM station, the
determination of whether a proposed
facility ‘‘could be modified’’ to cover 50
percent or more of an Urbanized Area
will be made based on the applicant’s
certification in the Section 307(b)
showing that there could be no rulecompliant minor modifications to the
proposal, based on the antenna
configuration or site, and spectrum
availability as of the filing date, that
could cause the station to place a
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18:45 Mar 14, 2014
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principal community contour over 50
percent or more of an Urbanized Area.
To the extent the applicant wishes to
rebut the Urbanized Area service
presumption, the Section 307(b)
showing must include a compelling
showing (a) that the proposed
community is truly independent from
the Urbanized Area; (b) of the
community’s specific need for an outlet
of local expression separate from the
Urbanized Area; and (c) the ability of
the proposed station to provide that
outlet.
In the case of applicants for new AM
stations making a showing under
Priority (4), other public interest
matters, an applicant that can
demonstrate that its proposed station
would provide third, fourth, or fifth
reception service to at least 25 percent
of the population in the proposed
primary service area, where the
proposed community of license has two
or fewer transmission services, may
receive a dispositive Section 307(b)
preference under Priority (4). An
applicant for a new AM station that
cannot demonstrate that it would
provide the third, fourth, or fifth
reception service to the required
population at a community with two or
fewer transmission services may also,
under Priority (4), calculate a ‘‘service
value index’’ as set forth in the case of
Greenup, Kentucky and Athens, Ohio,
Report and Order, 2 FCC Rcd 4319
(MMB 1987). If the applicant can
demonstrate a 30 percent or greater
difference in service value index
between its proposal and the next
highest ranking proposal, it can receive
a dispositive Section 307(b) preference
under Priority (4). Except under these
circumstances, dispositive Section
307(b) preferences will not be granted
under Priority (4) to applicants for new
AM stations. The Commission
specifically stated that these modified
allotment and assignment procedures
will not apply to pending applications
for new AM stations and major
modifications to AM facilities filed
during the 2004 AM Auction 84 filing
window.
Federal Communications Commission.
Gloria J. Miles,
Federal Register Liaison, Office of the
Secretary, Office of Managing Director.
[FR Doc. 2014–05747 Filed 3–14–14; 8:45 am]
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14709
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–14–0212]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to Leroy Richardson, at 1600
Clifton Road, MS D74, Atlanta, GA
30333 or send an email to omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the 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; and (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. Written comments should
be received within 60 days of this
notice.
Proposed Project
The National Hospital Care Survey
(NHCS) (OMB No. 0920–0212, Expires
04–30–2016)—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 extent and nature of
illness and disability of the population
of the United States. This three-year
clearance request for NHCS includes the
collection of all impatient and
ambulatory Uniform Bill–04 (UB–04)
claims data or electronic health record
(EHR) data from a sample of 581
hospitals as well as the collection of
additional clinical data from a sample of
E:\FR\FM\17MRN1.SGM
17MRN1
14710
Federal Register / Vol. 78, No. 51 / Monday, March 17, 2014 / Notices
emergency department (ED) and
outpatient department (OPD) visits
(including ambulatory surgeries)
through the abstraction of medical
records.
NHCS integrates the former National
Hospital Discharge Survey (OMB No.
0920–0212), the National Hospital
Ambulatory Medical Care Survey
(NHAMCS) (OMB No. 0920–0278) and
the Drug-Abuse Warning Network
(DAWN) (OMB No. 0930–0078, expired
12/31/2011) previously conducted by
the Substance Abuse and Mental Health
Services Administration’s (SAMHSA).
Integration of NHAMCS and DAWN into
the NHCS is part of a broader strategy
to improve efficiency by minimizing
redundancy in data collection;
broadening our capability to collect
more relevant data on transitions of
care; and identifying opportunities to
exploit electronic and administrative
clinical data systems to augment
primary data collection.
NHCS consists of a nationally
representative sample of 581 hospitals.
These hospitals are currently being
recruited, and participating hospitals
are submitting all of their inpatient and
ambulatory care patient data in the form
of electronic UB–04 administrative
claims or EHR data. Currently, hospitallevel data are collected through a paper
questionnaire and additional clinical
data are being abstracted from a sample
of visits to EDs and OPDs. This activity
continues in 2014, and as more
procedures. Visit-level data are
collected through either EHR data, or for
those hospitals submitting UB–04
claims, through the claims as well as
through abstraction of medical records
for a sample of visits. These visit-level
data include reason for visit, diagnosis,
procedures, medications, substances
involved, and patient disposition.
NHCS users include, but are not
limited to, CDC, Congressional Research
Office, Office of the Assistant Secretary
for Planning and Evaluation (ASPE),
National Institutes of Health, American
Health Care Association, Centers for
Medicare & Medicaid Services (CMS),
SAMHSA, Bureau of the Census, Office
of National Drug Control Policy, state
and local governments, and nonprofit
organizations. Other users of these data
include universities, research
organizations, many in the private
sector, foundations, and a variety of
users in the media.
Data collected through NHCS are
essential for evaluating health status of
the population, for the planning of
programs and policy to improve health
care delivery systems of the Nation, for
studying morbidity trends, and for
research activities in the health field.
Historically, data have been used
extensively in the development and
monitoring of goals for the Year 2000,
2010, and 2020 Healthy People
Objectives.
There is no cost to respondents other
than their time to participate.
hospitals choose to send EHR data that
includes clinical information, the need
to conduct abstraction will be reduced.
This revision seeks approval to
continue voluntary recruitment and data
collection for NHCS, including
inpatient, outpatient and emergency
care; to revise the hospital-level
questionnaire with additional items
needed to improve weighting
procedures; to combine the OPD and
ambulatory surgery location patient
record forms to more effectively capture
ambulatory procedures in these settings;
to continue collection of substanceinvolved ED visit data previously
collected by DAWN; and to eliminate
data collection from freestanding
ambulatory surgery centers in order to
concentrate efforts on hospital-based
settings of care.
NHCS collects data items at the
hospital, patient, inpatient discharge,
and visit levels. Hospital-level data
items include ownership, number of
staffed beds, hospital service type, and
EHR adoption. Patient-level data items
are collected from both electronic data
and abstraction components and
include basic demographic information,
personal identifiers, name, address,
social security number (if available),
and medical record number (if
available). Discharge-level data are
collected through the UB–04 claims or
EHR data and include admission and
discharge dates, diagnoses, diagnostic
services, and surgical and non-surgical
ESTIMATED ANNUALIZED BURDEN HOURS
Hospital
Hospital
Hospital
Hospital
Number of responses per
respondent
Initial Hospital Intake Questionnaire
Recruitment Survey Presentation ....
Annual Hospital Interview ................
Annual Ambulatory Hospital Interview.
Prepare and transmit UB–04 for Inpatient and Ambulatory data.
Prepare and transmit EHR for Inpatient and Ambulatory data.
160
160
581
465
1
1
1
1
1
1
2
1.5
160
160
1,162
698
481
12
1
5,772
100
4
1
400
...........................................................
........................
........................
........................
8,352
Form name
DHIM or DHIT .....................
CEO/CFO ............................
CEO/CFO ............................
CEO/CFO ............................
Hospital DHIM or DHIT .....................
Hospital DHIM or DHIT .....................
tkelley on DSK3SPTVN1PROD with NOTICES
Total ...........................................
Average burden per response
(in hours)
Number of respondents
Respondents
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. 2014–05801 Filed 3–14–14; 8:45 am]
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Total burden
hours
]]>Agencies
[Federal Register Volume 79, Number 51 (Monday, March 17, 2014)]
[Notices]
[Pages 14709-14710]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-05801]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-14-0212]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-7570 or
send comments to Leroy Richardson, at 1600 Clifton Road, MS D74,
Atlanta, GA 30333 or send an email to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the 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; and (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. Written comments should be received
within 60 days of this notice.
Proposed Project
The National Hospital Care Survey (NHCS) (OMB No. 0920-0212,
Expires 04-30-2016)--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
extent and nature of illness and disability of the population of the
United States. This three-year clearance request for NHCS includes the
collection of all impatient and ambulatory Uniform Bill-04 (UB-04)
claims data or electronic health record (EHR) data from a sample of 581
hospitals as well as the collection of additional clinical data from a
sample of
[[Page 14710]]
emergency department (ED) and outpatient department (OPD) visits
(including ambulatory surgeries) through the abstraction of medical
records.
NHCS integrates the former National Hospital Discharge Survey (OMB
No. 0920-0212), the National Hospital Ambulatory Medical Care Survey
(NHAMCS) (OMB No. 0920-0278) and the Drug-Abuse Warning Network (DAWN)
(OMB No. 0930-0078, expired 12/31/2011) previously conducted by the
Substance Abuse and Mental Health Services Administration's (SAMHSA).
Integration of NHAMCS and DAWN into the NHCS is part of a broader
strategy to improve efficiency by minimizing redundancy in data
collection; broadening our capability to collect more relevant data on
transitions of care; and identifying opportunities to exploit
electronic and administrative clinical data systems to augment primary
data collection.
NHCS consists of a nationally representative sample of 581
hospitals. These hospitals are currently being recruited, and
participating hospitals are submitting all of their inpatient and
ambulatory care patient data in the form of electronic UB-04
administrative claims or EHR data. Currently, hospital-level data are
collected through a paper questionnaire and additional clinical data
are being abstracted from a sample of visits to EDs and OPDs. This
activity continues in 2014, and as more hospitals choose to send EHR
data that includes clinical information, the need to conduct
abstraction will be reduced.
This revision seeks approval to continue voluntary recruitment and
data collection for NHCS, including inpatient, outpatient and emergency
care; to revise the hospital-level questionnaire with additional items
needed to improve weighting procedures; to combine the OPD and
ambulatory surgery location patient record forms to more effectively
capture ambulatory procedures in these settings; to continue collection
of substance-involved ED visit data previously collected by DAWN; and
to eliminate data collection from freestanding ambulatory surgery
centers in order to concentrate efforts on hospital-based settings of
care.
NHCS collects data items at the hospital, patient, inpatient
discharge, and visit levels. Hospital-level data items include
ownership, number of staffed beds, hospital service type, and EHR
adoption. Patient-level data items are collected from both electronic
data and abstraction components and include basic demographic
information, personal identifiers, name, address, social security
number (if available), and medical record number (if available).
Discharge-level data are collected through the UB-04 claims or EHR data
and include admission and discharge dates, diagnoses, diagnostic
services, and surgical and non-surgical procedures. Visit-level data
are collected through either EHR data, or for those hospitals
submitting UB-04 claims, through the claims as well as through
abstraction of medical records for a sample of visits. These visit-
level data include reason for visit, diagnosis, procedures,
medications, substances involved, and patient disposition.
NHCS users include, but are not limited to, CDC, Congressional
Research Office, Office of the Assistant Secretary for Planning and
Evaluation (ASPE), National Institutes of Health, American Health Care
Association, Centers for Medicare & Medicaid Services (CMS), SAMHSA,
Bureau of the Census, Office of National Drug Control Policy, state and
local governments, and nonprofit organizations. Other users of these
data include universities, research organizations, many in the private
sector, foundations, and a variety of users in the media.
Data collected through NHCS are essential for evaluating health
status of the population, for the planning of programs and policy to
improve health care delivery systems of the Nation, for studying
morbidity trends, and for research activities in the health field.
Historically, data have been used extensively in the development and
monitoring of goals for the Year 2000, 2010, and 2020 Healthy People
Objectives.
There is no cost to respondents other than their time to
participate.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) hours
----------------------------------------------------------------------------------------------------------------
Hospital DHIM or DHIT......... Initial Hospital 160 1 1 160
Intake
Questionnaire.
Hospital CEO/CFO.............. Recruitment 160 1 1 160
Survey
Presentation.
Hospital CEO/CFO.............. Annual Hospital 581 1 2 1,162
Interview.
Hospital CEO/CFO.............. Annual 465 1 1.5 698
Ambulatory
Hospital
Interview.
Hospital DHIM or DHIT......... Prepare and 481 12 1 5,772
transmit UB-04
for Inpatient
and Ambulatory
data.
Hospital DHIM or DHIT......... Prepare and 100 4 1 400
transmit EHR
for Inpatient
and Ambulatory
data.
---------------------------------------------------------------------------------
Total..................... ................ .............. .............. .............. 8,352
----------------------------------------------------------------------------------------------------------------
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. 2014-05801 Filed 3-14-14; 8:45 am]
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