Agency Forms Undergoing Paperwork Reduction Act Review, 10089-10090 [2019-05156]
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10089
Federal Register / Vol. 84, No. 53 / Tuesday, March 19, 2019 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day-19–0234]
Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled National
Ambulatory Medical Care Survey
(NAMCS) to the Office of Management
and Budget (OMB) for review and
approval. CDC previously published a
‘‘Proposed Data Collection Submitted
for Public Comment and
Recommendations’’ notice on August
10, 2018 to obtain comments from the
public and affected agencies. CDC did
not receive comments related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
CDC will accept all comments for this
proposed information collection project.
The Office of Management and Budget
is particularly interested in comments
that:
(a) 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;
(b) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected;
(d) 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 submission of
responses; and
(e) Assess information collection
costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Direct
written comments and/or suggestions
regarding the items contained in this
notice to the Attention: CDC Desk
Officer, Office of Management and
Budget, 725 17th Street NW,
Washington, DC 20503 or by fax to (202)
395–5806. Provide written comments
within 30 days of notice publication.
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
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, acting
through NCHS, shall collect statistics on
the utilization of health care provided
by non-federal office-based physicians
in the United States. On March 14,
2016, the OMB approved data collection
for three years from 2016 to 2018. This
revision is to request approval to
continue NAMCS data collection
activities for three years from 2019–
2021. The National Ambulatory Medical
Care Survey (NAMCS) has been
conducted intermittently from 1973
through 1985, and annually since 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 non-physician clinicians (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.
Having completed data collection on a
number of topic areas such (a) as the
prevention and treatment of sexually
transmitted infections (STIs) and HIV
(STD/PrEP) prevention, (b) culturally
and linguistically appropriate services,
and (c) alcohol and substance abuse
screening and brief intervention, those
items will be discontinued in 2019.
Likewise, beginning in 2019 some
existing instrument language will be
modified to ensure communication of
provider informed consent, and certain
data items will be modified/deleted
intended to (a) enhance data collection,
(b) reduce provider burden, and (c) to
maintain compliance with the
Department of Health and Human
Services guidance on data collection
standards for race and ethnicity for selfidentification. While the 2018
reabstraction of physician visits will
continue into the 2019 calendar year,
the 2019 reabstraction of patient visits
will be discontinued. The supplemental
sample of Meaningful Use (MU)
physicians will again be fielded in 2020,
with an increase in the sample size for
survey years 2020 and 2021. Finally, a
reinterview study will be initiated for
2019–2021.
There is no cost to the respondents
other than their time. The estimated
annual burden hours are 5,039.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Form name
Traditional Office-based Physicians or 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).
MU Office-based Physician Staff ....................
VerDate Sep<11>2014
17:54 Mar 18, 2019
Jkt 247001
PO 00000
Frm 00070
Fmt 4703
Sfmt 4703
E:\FR\FM\19MRN1.SGM
Number of
responses per
respondent
Average
burden per
response
(in hrs.)
122
1
30/60
1,097
1
30/60
99
30
1/60
893
30
1/60
2,000
1
45/60
19MRN1
10090
Federal Register / Vol. 84, No. 53 / Tuesday, March 19, 2019 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of respondents
Community Health Center Executive/Medical
Directors.
Community Health Center Providers ..............
Community Health Center Provider Staff .......
Traditional Physician Office-based and Community Health Center Staff.
Traditional Physician Office-based and Community Health Center Staff.
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–05156 Filed 3–18–19; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day-19–0850]
Agency Forms Undergoing Paperwork
Reduction Act Review
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled Laboratory
Response Network to the Office of
Management and Budget (OMB) for
review and approval. CDC previously
published a ‘‘Proposed Data Collection
Submitted for Public Comment and
Recommendations’’ notice on October 4,
2018 to obtain comments from the
public and affected agencies. CDC
received one comment related to the
previous notice. This notice serves to
allow an additional 30 days for public
and affected agency comments.
CDC will accept all comments for this
proposed information collection project.
The Office of Management and Budget
is particularly interested in comments
that:
(a) Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
VerDate Sep<11>2014
17:54 Mar 18, 2019
Jkt 247001
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 ...............................
whether the information will have
practical utility;
(b) Evaluate the accuracy of the
agencies estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and
clarity of the information to be
collected;
(d) 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 submission of
responses; and
(e) Assess information collection
costs.
To request additional information on
the proposed project or to obtain a copy
of the information collection plan and
instruments, call (404) 639–7570 or
send an email to omb@cdc.gov. Direct
written comments and/or suggestions
regarding the items contained in this
notice to the Attention: CDC Desk
Officer, Office of Management and
Budget, 725 17th Street NW,
Washington, DC 20503 or by fax to (202)
395–5806. Provide written comments
within 30 days of notice publication.
Proposed Project
Laboratory Response Network (0920–
0850, Exp. Date 4/30/2019—Extension—
National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID),
Centers for Disease Control and
Prevention (CDC).
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
Number of
responses per
respondent
Number of
respondents
Form name
Average
burden per
response
(in hrs.)
2,000
1
60/60
12
1
30/60
104
1
30/60
36
1
30/60
312
1
30/60
36
30
1/60
312
30
1/60
3
10
1/60
100
1
15/60
Background and Brief Description
CDC is requesting a three year
extension without change to the data
collection plan or tools. The only
change is a decrease in annual burden
hours from 2,382,300 to 2,064,660. The
decrease is due to a decrease in the
number of LRN member laboratories
from 150 to 130 laboratories.
The Laboratory Response Network
(LRN) was established by the
Department of Health and Human
Services (HHS), Centers for Disease
Control and Prevention (CDC) in
accordance with Presidential Decision
Directive 39, which outlined national
anti-terrorism policies and assigned
specific missions to federal departments
and agencies. The LRN’s mission is to
maintain an integrated national and
international network of laboratories
that can respond to suspected acts of
biological, chemical, or radiological
terrorism and other public health
emergencies.
Federal, state and local public health
laboratories join the LRN voluntarily.
When laboratories join, they assume
specific responsibilities and are
required to provide information to the
LRN Program Office at CDC. Each
laboratory must submit and maintain
complete information regarding the
testing capabilities of the laboratory.
Biennially, laboratories are required to
review, verify and update their testing
capability information. This information
is needed so that the LRN Program
Office can determine the ability of the
Network to respond to a biological or
chemical terrorism event. The
sensitivity of all information associated
with the LRN requires that CDC obtain
E:\FR\FM\19MRN1.SGM
19MRN1
]]>Agencies
[Federal Register Volume 84, Number 53 (Tuesday, March 19, 2019)]
[Notices]
[Pages 10089-10090]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05156]
[[Page 10089]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-19-0234]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled National Ambulatory Medical Care Survey
(NAMCS) to the Office of Management and Budget (OMB) for review and
approval. CDC previously published a ``Proposed Data Collection
Submitted for Public Comment and Recommendations'' notice on August 10,
2018 to obtain comments from the public and affected agencies. CDC did
not receive comments related to the previous notice. This notice serves
to allow an additional 30 days for public and affected agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) 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;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) 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 submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to omb@cdc.gov. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
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
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, acting through NCHS, shall collect statistics on the
utilization of health care provided by non-federal office-based
physicians in the United States. On March 14, 2016, the OMB approved
data collection for three years from 2016 to 2018. This revision is to
request approval to continue NAMCS data collection activities for three
years from 2019-2021. The National Ambulatory Medical Care Survey
(NAMCS) has been conducted intermittently from 1973 through 1985, and
annually since 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 non-
physician clinicians (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. Having completed data collection on a number of topic areas
such (a) as the prevention and treatment of sexually transmitted
infections (STIs) and HIV (STD/PrEP) prevention, (b) culturally and
linguistically appropriate services, and (c) alcohol and substance
abuse screening and brief intervention, those items will be
discontinued in 2019. Likewise, beginning in 2019 some existing
instrument language will be modified to ensure communication of
provider informed consent, and certain data items will be modified/
deleted intended to (a) enhance data collection, (b) reduce provider
burden, and (c) to maintain compliance with the Department of Health
and Human Services guidance on data collection standards for race and
ethnicity for self-identification. While the 2018 reabstraction of
physician visits will continue into the 2019 calendar year, the 2019
reabstraction of patient visits will be discontinued. The supplemental
sample of Meaningful Use (MU) physicians will again be fielded in 2020,
with an increase in the sample size for survey years 2020 and 2021.
Finally, a reinterview study will be initiated for 2019-2021.
There is no cost to the respondents other than their time. The
estimated annual burden hours are 5,039.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hrs.)
----------------------------------------------------------------------------------------------------------------
Traditional Office-based Physicians or 2018 Physician Induction 122 1 30/60
Staff. Interview (NAMCS-1).
2019+ Physician 1,097 1 30/60
Induction Interview
(NAMCS-1).
2018 Pulling, re-filing 99 30 1/60
medical record forms
(FR abstracts).
2019+ Pulling, re-filing 893 30 1/60
medical record forms
(FR abstracts).
MU Office-based Physician Staff....... 2019+ MU Physician 2,000 1 45/60
Induction Interview
(NAMCS-PFI).
[[Page 10090]]
2019+ Pulling, re-filing 2,000 1 60/60
medical record forms
(MU Onboarding).
Community Health Center Executive/ 2018 Induction 12 1 30/60
Medical Directors. Interview--service
delivery site (NAMCS-
201).
2019+ Induction 104 1 30/60
Interview--service
delivery site (NAMCS-
201).
Community Health Center Providers..... 2018 Induction 36 1 30/60
Interview--Providers
(NAMCS-1).
2019+ Induction 312 1 30/60
Interview--Providers
(NAMCS-1).
Community Health Center Provider Staff 2018 Pulling, re-filing 36 30 1/60
medical record forms
(FR abstracts).
2019+ Pulling, re-filing 312 30 1/60
medical record forms
(FR abstracts).
Traditional Physician Office-based and 2018 Pulling, re-filing 3 10 1/60
Community Health Center Staff. medical record forms
(FR abstracts) for the
Reabstraction Study.
Traditional Physician Office-based and 2019+ Reinterview Study. 100 1 15/60
Community Health Center Staff.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2019-05156 Filed 3-18-19; 8:45 am]
BILLING CODE 4163-18-P
