Proposed Data Collection Submitted for Public Comment and Recommendations, 38094-38095 [2021-15229]

Download as PDF 38094 Federal Register / Vol. 86, No. 135 / Monday, July 19, 2021 / Notices the Recordkeeping Requirements Associated with Regulation GG. The comment period for this notice expired on May 7, 2021. The Board did not receive any comments. Board of Governors of the Federal Reserve System, July 13, 2021. Michele Taylor Fennell, Deputy Associate Secretary of the Board. [FR Doc. 2021–15286 Filed 7–16–21; 8:45 am] BILLING CODE 6210–01–P GOVERNMENT ACCOUNTABILITY OFFICE lotter on DSK11XQN23PROD with NOTICES1 DEPARTMENT OF HEALTH AND HUMAN SERVICES The 21st Century Cures Act established HITAC to provide recommendations to the National Coordinator for Health Information Technology on policies, standards, implementation specifications, and certification criteria relating to the implementation of a health information technology infrastructure that advances the electronic access, exchange, and use of health information. The Act gave the Comptroller General of the United States responsibility for appointing a portion of HITAC’s members. The Act requires that members at least reflect providers, ancillary health care workers, consumers, purchasers, health plans, health information technology developers, researchers, patients, relevant Federal agencies, and individuals with technical expertise on health care quality, system functions, privacy, security, and on the electronic exchange and use of health information, including the use standards for such activity. GAO is now accepting nominations for HITAC appointments that will be effective January 1, 2022. From these nominations, GAO expects to appoint at least 5 new HITAC members, focusing especially on health care providers, ancillary health care workers, health information technology developers, and patient advocates. Nominations should be sent to the email address listed below. Acknowledgement of submissions will be provided within a week of submission. DATES: Letters of nomination and resumes should be submitted no later than August 24, 2021, to ensure adequate opportunity for review and Jkt 253001 Shannon Legeer at (202) 512–3197 or legeers@gao.gov if you do not receive an acknowledgment or need additional information. For general information, contact GAO’s Office of Public Affairs, (202) 512–4800. Authority: Pub. L. 114–255, sec. 4003(e) (2016), 42 U.S.C. 300jj–12. BILLING CODE 1610–02–P U.S. Government Accountability Office (GAO). ACTION: Request for letters of nomination and resumes. 18:23 Jul 16, 2021 FOR FURTHER INFORMATION CONTACT: [FR Doc. 2021–15136 Filed 7–16–21; 8:45 am] AGENCY: VerDate Sep<11>2014 Submit letters of nomination and resumes to HITCommittee@gao.gov. ADDRESSES: Gene L. Dodaro, Comptroller General of the United States. Request for Health Information Technology Advisory Committee (HITAC) Nominations SUMMARY: consideration of nominees prior to appointment. Centers for Disease Control and Prevention [60Day–21–0212; Docket No. CDC–2021– 0069] 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 Hospital Care Survey (NHCS). The goal of the project is to assess patient care in hospital-based settings, and to describe patterns of health care delivery and utilization in the United States. DATES: CDC must receive written comments on or before September 17, 2021. SUMMARY: You may submit comments, identified by Docket No. CDC–2021– 0069 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 ADDRESSES: PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 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: 404–639–7118; 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: 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; 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; and 5. Assess information collection costs. E:\FR\FM\19JYN1.SGM 19JYN1 38095 Federal Register / Vol. 86, No. 135 / Monday, July 19, 2021 / Notices Proposed Project National Hospital Care Survey (NHCS) (OMB Control No. 0920–0212, Exp. 03/31/2022)—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 National Hospital Care Survey (NHCS) includes the collection of all inpatient and ambulatory Uniform Bill–04 (UB–04) claims data or electronic health record (EHR) data, as well as the collection of hospital-level information via a questionnaire from a sample of 608 hospitals. 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). The National Hospital Discharge Survey (NHDS) (OMB No. 0920–0212, Exp. Date 01/31/2019), conducted continuously between 1965 and 2010, was the Nation’s principal source of data on inpatient utilization of Index (NDI) to measure post-discharge mortality, and Medicare and Medicaid data to leverage comorbidities. The availability of patient identifiers also makes analysis on hospital readmissions possible. This comprehensive collection of data makes future opportunities for surveillance possible, including analyzing trends and incidence of opioid misuse, acute myocardial infarction, heart failure and stroke, as well as trends and point prevalence of health care acquired infections and antimicrobial use. Beginning in 2013, in addition to inpatient hospital data, hospitals participating in NHCS were asked to provide data on the utilization of health care services in their ambulatory settings (e.g., EDs and OPDs). Due to low response rates and high level of missing data, OPD data were not collected in the last approval period (2019, 2020 and 2021). Collection of OPD may resume in future years. Data collected through NHCS are essential for evaluating the 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. There are no changes to the data collection survey. The only change is to the burden hours due to the increase of the sample size. The new total annualized burden is 7,184 hours. short-stay, non-institutional, nonFederal hospitals, and was the principal source of nationally representative estimates on the characteristics of inpatients including lengths of stay, diagnoses, surgical and non-surgical procedures, and patterns of use of care in hospitals in various regions of the country. In 2011, NHDS was granted approval by OMB to expand its content and to change its name to the National Hospital Care Survey (NHCS). In May 2011, recruitment of sampled hospitals for the NHCS began. Hospitals in the NHCS are asked to provide data on all inpatients from their UB–04 administrative claims, or EHRs. Hospital-level characteristics and data on the impact of COVID–19 on the hospital are collected through an Annual Hospital Interview. NHCS will continue to provide the same national health-care statistics on hospitals that NHDS provided. Additionally, NHCS collects more information at the hospital level (e.g., volume of care provided by the hospital), which allow for analyses on the effect of hospital characteristics on the quality of care provided. NHCS data collected from UB–04 administrative claims and EHRs include all inpatient discharges, not just a sample. The confidential collection of personally identifiable information allows NCHS to link episodes of care provided to the same patient in the ED and/or OPD and as an inpatient, as well as link patients to the National Death ESTIMATED ANNUALIZED BURDEN HOURS Number of responses per respondent Average burden per response (in hours) Total burden (in hours) Form name Hospital DHIM or DHIT .. Hospital CEO/CFO ........ Hospital DHIM or DHIT .. 150 150 408 1 1 12 1 1 1 136 136 4,896 200 4 1 800 Hospital CEO/CFO ........ Initial Hospital Intake Questionnaire .................... Recruitment Survey Presentation ........................ Prepare and transmit UB–04 or State File for Inpatient and Ambulatory (monthly). Prepare and transmit EHR for Inpatient and Ambulatory (quarterly). Annual Hospital Interview .................................... 608 1 2 1,216 Total ........................ .............................................................................. ........................ ........................ ........................ 7,184 Hospital DHIM or DHIT .. Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Scientific Integrity, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2021–15229 Filed 7–16–21; 8:45 am] lotter on DSK11XQN23PROD with NOTICES1 Number of respondents Respondents BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Multi-Agency Informational Meetings To Discuss Reporting Requirements for Entities; Public Webinars Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS) 18:23 Jul 16, 2021 Jkt 253001 Notice of public webinars. The HHS/CDC’s Division of Select Agents and Toxins (DSAT) and the U.S. Department of Agriculture/ Animal and Plant Health Inspection Service (APHIS)’s Division of Agricultural Select Agents and Toxins (DASAT) are jointly charged with the regulation of the possession, use and transfer of biological agents and toxins that have the potential to pose a severe threat to public, animal or plant health SUMMARY: Centers for Disease Control and Prevention AGENCY: VerDate Sep<11>2014 ACTION: PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 E:\FR\FM\19JYN1.SGM 19JYN1

Agencies

[Federal Register Volume 86, Number 135 (Monday, July 19, 2021)]
[Notices]
[Pages 38094-38095]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-15229]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-21-0212; Docket No. CDC-2021-0069]


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 Hospital Care Survey 
(NHCS). The goal of the project is to assess patient care in hospital-
based settings, and to describe patterns of health care delivery and 
utilization in the United States.

DATES: CDC must receive written comments on or before September 17, 
2021.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2021-
0069 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: 404-639-7118; 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;
    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; and
    5. Assess information collection costs.

[[Page 38095]]

Proposed Project

    National Hospital Care Survey (NHCS) (OMB Control No. 0920-0212, 
Exp. 03/31/2022)--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 National Hospital 
Care Survey (NHCS) includes the collection of all inpatient and 
ambulatory Uniform Bill-04 (UB-04) claims data or electronic health 
record (EHR) data, as well as the collection of hospital-level 
information via a questionnaire from a sample of 608 hospitals.
    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). The National Hospital Discharge Survey 
(NHDS) (OMB No. 0920-0212, Exp. Date 01/31/2019), conducted 
continuously between 1965 and 2010, was the Nation's principal source 
of data on inpatient utilization of short-stay, non-institutional, non-
Federal hospitals, and was the principal source of nationally 
representative estimates on the characteristics of inpatients including 
lengths of stay, diagnoses, surgical and non-surgical procedures, and 
patterns of use of care in hospitals in various regions of the country. 
In 2011, NHDS was granted approval by OMB to expand its content and to 
change its name to the National Hospital Care Survey (NHCS).
    In May 2011, recruitment of sampled hospitals for the NHCS began. 
Hospitals in the NHCS are asked to provide data on all inpatients from 
their UB-04 administrative claims, or EHRs. Hospital-level 
characteristics and data on the impact of COVID-19 on the hospital are 
collected through an Annual Hospital Interview. NHCS will continue to 
provide the same national health-care statistics on hospitals that NHDS 
provided. Additionally, NHCS collects more information at the hospital 
level (e.g., volume of care provided by the hospital), which allow for 
analyses on the effect of hospital characteristics on the quality of 
care provided. NHCS data collected from UB-04 administrative claims and 
EHRs include all inpatient discharges, not just a sample. The 
confidential collection of personally identifiable information allows 
NCHS to link episodes of care provided to the same patient in the ED 
and/or OPD and as an inpatient, as well as link patients to the 
National Death Index (NDI) to measure post-discharge mortality, and 
Medicare and Medicaid data to leverage comorbidities. The availability 
of patient identifiers also makes analysis on hospital readmissions 
possible. This comprehensive collection of data makes future 
opportunities for surveillance possible, including analyzing trends and 
incidence of opioid misuse, acute myocardial infarction, heart failure 
and stroke, as well as trends and point prevalence of health care 
acquired infections and antimicrobial use.
    Beginning in 2013, in addition to inpatient hospital data, 
hospitals participating in NHCS were asked to provide data on the 
utilization of health care services in their ambulatory settings (e.g., 
EDs and OPDs). Due to low response rates and high level of missing 
data, OPD data were not collected in the last approval period (2019, 
2020 and 2021). Collection of OPD may resume in future years.
    Data collected through NHCS are essential for evaluating the 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. 
There are no changes to the data collection survey. The only change is 
to the burden hours due to the increase of the sample size. The new 
total annualized burden is 7,184 hours.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                             Number of       Number of      burden per     Total burden
                  Respondents                                   Form name                   respondents    responses per   response (in     (in hours)
                                                                                                            respondent        hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hospital DHIM or DHIT..........................  Initial Hospital Intake Questionnaire..             150               1               1             136
Hospital CEO/CFO...............................  Recruitment Survey Presentation........             150               1               1             136
Hospital DHIM or DHIT..........................  Prepare and transmit UB-04 or State                 408              12               1           4,896
                                                  File for Inpatient and Ambulatory
                                                  (monthly).
Hospital DHIM or DHIT..........................  Prepare and transmit EHR for Inpatient              200               4               1             800
                                                  and Ambulatory (quarterly).
Hospital CEO/CFO...............................  Annual Hospital Interview..............             608               1               2           1,216
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............           7,184
--------------------------------------------------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific 
Integrity, Office of Science, Centers for Disease Control and 
Prevention.
[FR Doc. 2021-15229 Filed 7-16-21; 8:45 am]
BILLING CODE 4163-18-P