Proposed Data Collection Submitted for Public Comment and Recommendations, 39755-39757 [2018-17175]

Download as PDF 39755 Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices (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; and 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, effectively if there is an accurate estimate of the total number of illnesses that occur, and if these estimates are recalculated and monitored over time. Estimates of the total burden start with accurate and reliable estimates of the number of acute gastrointestinal illness episodes that occur in the general community. To more precisely estimate this and to describe the frequency of important exposures associated with illness, FoodNet created the Population Survey. The FoodNet Population Survey is a survey of persons residing in the surveillance area. Data are collected on the prevalence and severity of acute gastrointestinal illness in the general population, describe common symptoms associated with diarrhea, and determine the proportion of persons with diarrhea who seek medical care. The survey also collects data on exposures (e.g. food, water, animal contact) commonly associated with foodborne illness. Information about food exposures in the general public has proved invaluable during outbreak investigations. The ability to compare exposures reported by outbreak cases to the ‘background’ exposure in the general population allows investigators to more quickly pinpoint a source and enact control measures. CDC seeks approval for an OMB extension to continue this important work. The total estimated Burden Hours for this collection is 6,067 annually. There is no cost to the respondents other than their time. e.g., permitting electronic submissions of responses. 5. Assess information collection costs. Proposed Project FoodNet Population Survey— Extension ICR—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC). Background and Brief Description Foodborne illnesses represent a significant public health burden in the United States. It is estimated that each year, 48 million Americans (1 in 6) become ill, 128,000 are hospitalized, and 3,000 die as the result of a foodborne illness. Since 1996, the Foodborne Diseases Active Surveillance Network (FoodNet) has conducted active population-based surveillance for Campylobacter, Cryptosporidium, Cyclospora, Listeria, Salmonella, Shiga toxin-producing Escherichia coli O157 and non-O157, Shigella, Vibrio, and Yersinia infections. Data from FoodNet serves as the nation’s ‘‘report card’’ on food safety by monitoring progress toward CDC Healthy People 2020 objectives. Since the previous OMB approval, pilot testing has been completed and data collection began in all states. As of July 10, 2018 a total of 11,657 surveys have been completed between all survey modes including landline, cell phone, web, and mail. CDC is seeking two years of OMB clearance for an extension of control number 0920–1112. Evaluation of efforts to control foodborne illnesses can only be done ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Number of responses per respondent Average burden per response (in hours) Total burden (in hours) Type of respondents Form name U.S. General Population ................... Population Survey ............................ 18,200 1 20/60 6,067 Total ........................................... ........................................................... ........................ ........................ ........................ 6,067 DEPARTMENT OF HEALTH AND HUMAN SERVICES [FR Doc. 2018–17176 Filed 8–9–18; 8:45 am] daltland on DSKBBV9HB2PROD with NOTICES Jeffrey M. Zirger, Acting 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. [60Day–18–0234; Docket No. CDC–2018– 0073] BILLING CODE 4163–18–P Centers for Disease Control and Prevention Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). AGENCY: VerDate Sep<11>2014 19:03 Aug 09, 2018 Jkt 244001 PO 00000 Frm 00099 Fmt 4703 Sfmt 4703 ACTION: Notice with comment period. 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 proposed and/or 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 SUMMARY: E:\FR\FM\10AUN1.SGM 10AUN1 39756 Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices daltland on DSKBBV9HB2PROD with NOTICES Care Survey (NAMCS). The goal of the project is to assess the health of the population through patient use of physician offices, community health centers (CHCs), and to monitor the characteristics of physician practices]. DATES: CDC must receive written comments on or before October 9, 2018. ADDRESSES: You may submit comments, identified by Docket No. CDC–2018– 0073 by any of the following methods: • Federal eRulemaking Portal: 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–D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (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– D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. 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: VerDate Sep<11>2014 19:03 Aug 09, 2018 Jkt 244001 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; and 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. 5. Assess information collection costs. 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 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 providerbased surveys that capture health care utilization from a variety of settings, including hospital inpatient and longterm care facilities. NCHS surveys of health care providers include NAMCS, the National Hospital Ambulatory Medical Care Survey (NHAMCS) (OMB No. 0920–0278, Exp. Date 06/30/2021), the National Hospital Care Survey (OMB No. 0920–0212, Exp. Date 01/31/2019), and National Study of Long-term Care Providers (OMB No. 0920–0943, Exp. Date 12/31/2019). An overarching purpose of NAMCS is to meet the needs and demands for statistical information about the provision of ambulatory medical care PO 00000 Frm 00100 Fmt 4703 Sfmt 4703 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 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 officebased practices owned by hospitals), and growth in the number of alternative sites of care. Ambulatory services are rendered in a wide variety of settings, including physician offices and hospital outpatient and emergency departments. Since more than 80% of all direct 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, community health centers (CHCs) play an important role in the health care community by providing care to people who might not be able to afford it otherwise. CHCs are local, non-profit, community-owned health care settings, which serve approximately 23 million individuals throughout the United States. Prior to 2006, visits made to CHCs, although captured in NAMCS, were not purposely included in the sampling plan; at that time, CHCs did not represent a separate NAMCS stratum. In an attempt to obtain a more accurate picture of health care provided in the United States, a sample of 104 CHCs was included in the 2006 NAMCS panel. There has been annual data collection from CHCs since that time, and these settings will continue to be sampled in 2019–2021. The total estimated annual number of Burden Hours are 4,953. There is no cost to respondents other than their time. E:\FR\FM\10AUN1.SGM 10AUN1 39757 Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices ESTIMATED ANNUALIZED BURDEN HOURS Form name Traditional Office-based Physicians or Staff. Traditional Office-based Physicians or Staff. Traditional Office-based Physicians or Staff. Traditional Office-based Physicians or Staff. MU Office-based Physician Staff ...... 2018 Physician Induction Interview (NAMCS–1). 2019+ Physician Induction Interview (NAMCS–1). 2018 Pulling, re-filing medical record forms (FR abstracts). 2019+ Pulling, re-filing medical record forms (FR abstracts). 2019+ MU Physician Induction Interview (NAMCS–PFI). 2019+ Pulling, re-filing medical record forms (MU Onboarding). 2018 Induction Interview—service delivery site (NAMCS–201). 2019+ Induction Interview—service delivery site (NAMCS–201). 2018 Induction Interview—Providers (NAMCS–1). 2019+ Induction Interview—Providers (NAMCS–1). 2018 Pulling, re-filing medical record forms (FR abstracts). 2019+ Pulling, re-filing medical record forms (FR abstracts). 2018 Pulling, re-filing medical record forms (FR abstracts) for the Reabstraction Study. 2019+ Reinterview Study ................ MU Office-based Physician Staff ...... Community Health Center Executive/ Medical Directors. Community Health Center Executive/ Medical Directors. Community Health Center Providers Community Health Center Providers Community Health Center Provider Staff. Community Health Center Provider Staff. Traditional Physician Office-based and Community Health Center Staff. Traditional Physician Office-based and Community Health Center Staff. Total ........................................... .......................................................... Jeffrey M. Zirger, Acting 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. 2018–17175 Filed 8–9–18; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [60Day–18–18APX; Docket No. CDC–2018– 0066] Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. daltland on DSKBBV9HB2PROD with NOTICES AGENCY: 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 SUMMARY: VerDate Sep<11>2014 19:03 Aug 09, 2018 Jkt 244001 Number of responses per respondent Number of respondents Type of respondents 1 30/60 61 1,097 1 30/60 549 99 30 1/60 50 893 30 1/60 447 2,000 1 45/60 1,500 2,000 1 60/60 2,000 12 1 30/60 6 104 1 30/60 52 27 1 30/60 14 234 1 30/60 117 27 30 1/60 14 234 30 1/60 117 3 10 1/60 1 100 1 15/60 25 ........................ ........................ ........................ 4,953 CDC must receive written comments on or before October 9, 2018. DATES: You may submit comments, identified by Docket No. CDC–2018– 0066 by any of the following methods: • Federal eRulemaking Portal: Regulations.gov. Follow the instructions for submitting comments. ADDRESSES: Frm 00101 Fmt 4703 Total burden (in hrs.) 122 general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled ‘‘Dental Survey: Improving outpatient antibiotic use through implementation and evaluation of Core Elements of Outpatient Antibiotic Stewardship.’’ This information collection request will generate data to assess knowledge, attitudes, practices and perceived barriers to appropriate antibiotic prescribing in a representative sample of dental providers. Results will be used to inform interventions for this specific provider population and support our efforts to improve antimicrobial stewardship within outpatient clinics. PO 00000 Avg. burden per response (in hrs.) Sfmt 4703 • Mail: Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS–D74, Atlanta, Georgia 30329. Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov. Please note: Submit all comments through the Federal eRulemaking portal (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– D74, Atlanta, Georgia 30329; phone: 404–639–7570; Email: omb@cdc.gov. 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 E:\FR\FM\10AUN1.SGM 10AUN1

Agencies

[Federal Register Volume 83, Number 155 (Friday, August 10, 2018)]
[Notices]
[Pages 39755-39757]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-17175]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-18-0234; Docket No. CDC-2018-0073]


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.

-----------------------------------------------------------------------

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 proposed and/or 
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

[[Page 39756]]

Care Survey (NAMCS). The goal of the project is to assess the health of 
the population through patient use of physician offices, community 
health centers (CHCs), and to monitor the characteristics of physician 
practices].

DATES: CDC must receive written comments on or before October 9, 2018.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2018-
0073 by any of the following methods:
     Federal eRulemaking Portal: 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-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. CDC will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (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-D74, Atlanta, Georgia 30329; phone: 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; and
    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.
    5. Assess information collection costs.

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

    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 Hospital Ambulatory 
Medical Care Survey (NHAMCS) (OMB No. 0920-0278, Exp. Date 06/30/2021), 
the National Hospital Care Survey (OMB No. 0920-0212, Exp. Date 01/31/
2019), and National Study of Long-term Care Providers (OMB No. 0920-
0943, Exp. Date 12/31/2019).
    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 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), and growth in the number of 
alternative sites of care.
    Ambulatory services are rendered in a wide variety of settings, 
including physician offices and hospital outpatient and emergency 
departments. Since more than 80% of all direct 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, community health centers (CHCs) 
play an important role in the health care community by providing care 
to people who might not be able to afford it otherwise. CHCs are local, 
non-profit, community-owned health care settings, which serve 
approximately 23 million individuals throughout the United States. 
Prior to 2006, visits made to CHCs, although captured in NAMCS, were 
not purposely included in the sampling plan; at that time, CHCs did not 
represent a separate NAMCS stratum. In an attempt to obtain a more 
accurate picture of health care provided in the United States, a sample 
of 104 CHCs was included in the 2006 NAMCS panel. There has been annual 
data collection from CHCs since that time, and these settings will 
continue to be sampled in 2019-2021. The total estimated annual number 
of Burden Hours are 4,953. There is no cost to respondents other than 
their time.

[[Page 39757]]



                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Number of      Avg. burden
              Type of respondents                               Form name                    Number of     responses per   per response    Total burden
                                                                                            respondents     respondent       (in hrs.)       (in hrs.)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Traditional Office-based Physicians or Staff...  2018 Physician Induction Interview                  122               1           30/60              61
                                                  (NAMCS-1).
Traditional Office-based Physicians or Staff...  2019+ Physician Induction Interview               1,097               1           30/60             549
                                                  (NAMCS-1).
Traditional Office-based Physicians or Staff...  2018 Pulling, re-filing medical record               99              30            1/60              50
                                                  forms (FR abstracts).
Traditional Office-based Physicians or Staff...  2019+ Pulling, re-filing medical record             893              30            1/60             447
                                                  forms (FR abstracts).
MU Office-based Physician Staff................  2019+ MU Physician Induction Interview            2,000               1           45/60           1,500
                                                  (NAMCS-PFI).
MU Office-based Physician Staff................  2019+ Pulling, re-filing medical record           2,000               1           60/60           2,000
                                                  forms (MU Onboarding).
Community Health Center Executive/Medical        2018 Induction Interview--service                    12               1           30/60               6
 Directors.                                       delivery site (NAMCS-201).
Community Health Center Executive/Medical        2019+ Induction Interview--service                  104               1           30/60              52
 Directors.                                       delivery site (NAMCS-201).
Community Health Center Providers..............  2018 Induction Interview--Providers                  27               1           30/60              14
                                                  (NAMCS-1).
Community Health Center Providers..............  2019+ Induction Interview--Providers                234               1           30/60             117
                                                  (NAMCS-1).
Community Health Center Provider Staff.........  2018 Pulling, re-filing medical record               27              30            1/60              14
                                                  forms (FR abstracts).
Community Health Center Provider Staff.........  2019+ Pulling, re-filing medical record             234              30            1/60             117
                                                  forms (FR abstracts).
Traditional Physician Office-based and           2018 Pulling, re-filing medical record                3              10            1/60               1
 Community Health Center Staff.                   forms (FR abstracts) for the
                                                  Reabstraction Study.
Traditional Physician Office-based and           2019+ Reinterview Study................             100               1           15/60              25
 Community Health Center Staff.
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............           4,953
--------------------------------------------------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting 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. 2018-17175 Filed 8-9-18; 8:45 am]
 BILLING CODE 4163-18-P