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