Proposed Data Collection Submitted for Public Comment and Recommendations, 7398-7399 [2021-01691]
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7398
Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices
Centers for Disease Control and
Prevention
[60Day–21–0234; Docket No. CDC–2020–
0125]
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.
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
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
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 March 29, 2021.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2020–
0125 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.
SUMMARY:
VerDate Sep<11>2014
17:16 Jan 27, 2021
Jkt 253001
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.
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB Control No.
0920–0234, Exp. 05/31/2022)—
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 in-patient and long-
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
term care facilities. NCHS surveys of
health care providers include NAMCS,
the National Hospital Ambulatory
Medical Care Survey (NHAMCS) (OMB
Control No. 0920–0278, Exp. 09/30/
2023), the National Hospital Care
Survey (OMB Control No. 0920–0212,
Exp. 03/31/2022), and National Postacute and Long-term Care Study (OMB
Control No. 0920–0943, Exp. 09/30/
2023).
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 electronic health records (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 65% of 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 28 million individuals
throughout the United States.
This revision seeks approval to adjust
the CHC sample size. In 2021, the
sample size will be reduced to 50 CHCs,
and in 2022 allocated funds will cover
a sample size of 110 CHCs. In 2023 the
sample size will increase to 115 CHCs.
There will be no modification to the
office-based physician sample. In the
2021 survey year we will include the
supplemental sample of physicians from
E:\FR\FM\28JAN1.SGM
28JAN1
7399
Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices
which visit data are collected through
submission of EHRs with the approved
2019 sample size, and for subsequent
survey years when deemed necessary.
The annualized 2021–2023 NAMCS
sample size is projected to be 6,000
office-based physicians and 92 CHCs.
Questions on the traditional office-base
physician survey will be modified for
clarification and to keep current with
medical practice and terminology. In
2020 we are also seeking to include the
potential for experiments involving
physician incentives for some officebased physicians. In 2021, data
collection for CHCs will transition from
manual abstraction to be sent through
EHRs. A set-up fee will be allotted to
sampled CHCs to offset the cost of this
new data collection method. With this
transition, a new CHC facility interview
will be implemented and personally
identifiable information (PII) will be
collected from both the CHCs, and
physicians who submit EHR data. For
both the traditional office-based
physicians and CHCs, we will continue
COVID–19 questions in 2021 and for
subsequent data years where
information is pertinent. We will also
begin to conduct methodological work
to improve upon the survey. Estimated
annualized burden is 9,272 hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Number of
responses per
respondent
Average
burden per
response
(in hrs.)
Total burden
(in hrs.)
Type of respondents
Form name
Office-based Physicians or Staff (Abstraction) ...
Physician Induction Interview (2020) ..................
Pulling, re-filing medical record forms (FR abstracts) (2020).
CHC Facility Induction Interview (2020) .............
Provider Induction Interview (2020) ....................
Pulling, re-filing medical record forms (FR abstracts).
Reinterview Study (2020) ...................................
500
500
1
30
30/60
1/60
250
250
17
52
52
1
1
30
30/60
30/60
1/60
9
26
26
33
1
15/60
8
3,000
3,000
1
30
30/60
1/60
1,500
1,500
3,000
3,000
1
1
45/60
60/60
2,250
3,000
92
92
1
4
15/60
60/60
23
368
Office-based Physicians (Abstraction) ................
Physician Induction Interview (2021–2023) ........
Pulling, re-filing medical record forms (FR abstracts) (2021–2023).
Physician Facility Interview (PFI) (2021–2023) ..
Pulling, re-filing medical record forms (EHR
Onboarding) (2021–2023).
CHC Facility Interview (2021–2023) ...................
Prepare and transmit EHR for Visit Data (quarterly) (2021–2023).
Reinterview Study (2021–2023) .........................
250
1
15/60
63
Total ..............................................................
.............................................................................
........................
........................
....................
9,272
CHC Executive/Medical Directors .......................
CHC Providers .....................................................
CHC Provider Staff ..............................................
Office-based Physicians (Abstraction) and CHC
Providers.
Office-based Physicians or Staff (Abstraction) ...
Office-based Physician Staff (EHR Submission)
CHC Staff ............................................................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2021–01691 Filed 1–27–21; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–21–20PM]
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 Oral Health
Basic Screening Survey for Children 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 July 2, 2020 to obtain
comments from the public and affected
agencies. CDC received three comments
VerDate Sep<11>2014
17:16 Jan 27, 2021
Jkt 253001
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
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
(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.
Comments and recommendations for the
proposed information collection should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. 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
Oral Health Basic Screening Survey
for Children—Existing Collection in use
without an OMB Control Number—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
E:\FR\FM\28JAN1.SGM
28JAN1
]]>Agencies
[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7398-7399]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01691]
[[Page 7398]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-21-0234; Docket No. CDC-2020-0125]
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
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 March 29, 2021.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2020-
0125 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. 05/31/2022)--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 in-patient and long-term care facilities. NCHS surveys of
health care providers include NAMCS, the National Hospital Ambulatory
Medical Care Survey (NHAMCS) (OMB Control No. 0920-0278, Exp. 09/30/
2023), the National Hospital Care Survey (OMB Control No. 0920-0212,
Exp. 03/31/2022), and National Post-acute and Long-term Care Study (OMB
Control No. 0920-0943, Exp. 09/30/2023).
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 electronic health
records (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 65% of 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 28 million individuals throughout the United States.
This revision seeks approval to adjust the CHC sample size. In
2021, the sample size will be reduced to 50 CHCs, and in 2022 allocated
funds will cover a sample size of 110 CHCs. In 2023 the sample size
will increase to 115 CHCs. There will be no modification to the office-
based physician sample. In the 2021 survey year we will include the
supplemental sample of physicians from
[[Page 7399]]
which visit data are collected through submission of EHRs with the
approved 2019 sample size, and for subsequent survey years when deemed
necessary. The annualized 2021-2023 NAMCS sample size is projected to
be 6,000 office-based physicians and 92 CHCs. Questions on the
traditional office-base physician survey will be modified for
clarification and to keep current with medical practice and
terminology. In 2020 we are also seeking to include the potential for
experiments involving physician incentives for some office-based
physicians. In 2021, data collection for CHCs will transition from
manual abstraction to be sent through EHRs. A set-up fee will be
allotted to sampled CHCs to offset the cost of this new data collection
method. With this transition, a new CHC facility interview will be
implemented and personally identifiable information (PII) will be
collected from both the CHCs, and physicians who submit EHR data. For
both the traditional office-based physicians and CHCs, we will continue
COVID-19 questions in 2021 and for subsequent data years where
information is pertinent. We will also begin to conduct methodological
work to improve upon the survey. Estimated annualized burden is 9,272
hours.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per Total burden
Type of respondents Form name respondents responses per response (in hrs.)
respondent (in hrs.)
----------------------------------------------------------------------------------------------------------------
Office-based Physicians or Physician 500 1 30/60 250
Staff (Abstraction). Induction
Interview (2020).
Pulling, re-filing 500 30 1/60 250
medical record
forms (FR
abstracts) (2020).
CHC Executive/Medical Directors CHC Facility 17 1 30/60 9
Induction
Interview (2020).
CHC Providers.................. Provider Induction 52 1 30/60 26
Interview (2020).
CHC Provider Staff............. Pulling, re-filing 52 30 1/60 26
medical record
forms (FR
abstracts).
Office-based Physicians Reinterview Study 33 1 15/60 8
(Abstraction) and CHC (2020).
Providers.
Office-based Physicians or Physician 3,000 1 30/60 1,500
Staff (Abstraction). Induction
Interview (2021-
2023).
Pulling, re-filing 3,000 30 1/60 1,500
medical record
forms (FR
abstracts) (2021-
2023).
Office-based Physician Staff Physician Facility 3,000 1 45/60 2,250
(EHR Submission). Interview (PFI)
(2021-2023).
Pulling, re-filing 3,000 1 60/60 3,000
medical record
forms (EHR
Onboarding) (2021-
2023).
CHC Staff...................... CHC Facility 92 1 15/60 23
Interview (2021-
2023).
Prepare and 92 4 60/60 368
transmit EHR for
Visit Data
(quarterly) (2021-
2023).
Office-based Physicians Reinterview Study 250 1 15/60 63
(Abstraction). (2021-2023).
------------------------------------------------------------
Total...................... .................. .............. .............. ........... 9,272
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2021-01691 Filed 1-27-21; 8:45 am]
BILLING CODE 4163-18-P
