Proposed Data Collection Submitted for Public Comment and Recommendations, 15429-15430 [2022-05757]
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Federal Register / Vol. 87, No. 53 / Friday, March 18, 2022 / Notices
Centers for Disease Control and
Prevention
[60–Day–22–0234; Docket No. CDC–2022–
0038]
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 this
project is to assess the health of the
population through patient use of
physician and advanced practice
provider offices and health centers
(HCs), and to monitor the characteristics
of physician and provider practices.
DATES: CDC must receive written
comments on or before May 17, 2022.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2022–
0038 by either 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 H21–8, 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
H21–8, Atlanta, Georgia 30329; phone:
404–639–7570; Email: omb@cdc.gov.
jspears on DSK121TN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
18:27 Mar 17, 2022
Jkt 256001
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.
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Proposed Project
National Ambulatory Medical Care
Survey (NAMCS) (OMB Control No.
0920–0234, Exp. 07/31/2024)—
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.
PO 00000
Frm 00072
Fmt 4703
Sfmt 4703
15429
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 (NHCS) (OMB
Control No. 0920–0212, Exp. 03/31/
2022), and National Post-acute and
Long-term Care Study (NPALS) (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) 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) introduction of
new medical technologies, and (5) 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), the
increasing role of advanced practice
providers delivering clinical care, and
growth in the number of alternative sites
of care.
Ambulatory services are rendered in a
wide variety of settings, including
physician/provider 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,
health centers (HCs) play an important
role in the health care community by
providing care to people who might not
be able to afford it otherwise. HCs are
local, non-profit, community-owned
health care settings, which serve
approximately 28 million individuals
throughout the United States.
This Revision seeks approval to
conduct changes to all three
components of NAMCS. We plan to
adjust the HC Component and Provider
Interview sample sizes. In 2022 the goal
is to sample 5,000 physicians, 5,000
advanced practice providers, and 110
HCs. In 2023, we plan to sample up to
10,000 physicians, 20,000 advanced
E:\FR\FM\18MRN1.SGM
18MRN1
15430
Federal Register / Vol. 87, No. 53 / Friday, March 18, 2022 / Notices
practice providers, and 210 HCs, if
funds allow. Lastly, if funds allow, in
2024 we will sample up to 20,000
physicians, 40,000 advanced practice
providers, and 310 HCs. For 2022–2024,
there will be an additional 3,000
physicians sampled yearly for the
Provider Electronic Component.
experiment will also no longer be taking
place, as we will begin to conduct other
methodological work to improve upon
the survey.
CDC requests OMB approval for an
estimated 32,302 annual burden hours.
There are no costs to respondents other
than their time to participate.
Questions on the Health Center Facility
Interview will be modified. After 2021,
the Physician Induction Interview will
shift to a redesigned Ambulatory Care
Provider Interview. Visit data collection
via abstraction will be placed on a hold
and the reinterview study will be
discontinued. The provider incentive
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Physician or Staff ..............................
Office-Based Physician Induction
Interview.
Reinterview Study ............................
Prepare and transmit EHR for Visit
Data (quarterly).
Set-up fee questionnaire ..................
ACPI .................................................
ACPI .................................................
PFI ....................................................
Prepare and transmit Electronic Visit
Data (quarterly).
HC Facility Interview ........................
Prepare and transmit EHR for Visit
Data (quarterly).
Set-up fee questionnaire ..................
...........................................................
HC’s Staff ..........................................
Physician or Staff ..............................
Advanced Practice Provider or Staff
Ambulatory Care Provider’s or
Group’s or Conglomerate’s Staff.
HC’s Staff ..........................................
Total ...........................................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2022–05757 Filed 3–17–22; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–22–1262]
jspears on DSK121TN23PROD with NOTICES1
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 Barriers and
Facilitators to Expanding the NHBS to
Conduct HIV Behavioral Surveillance
Among Transgender Women (NHBSTrans) 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 November 2, 2021 to obtain
comments from the public and affected
agencies. CDC received four comments
related to the previous notice. This
notice serves to allow an additional 30
VerDate Sep<11>2014
18:27 Mar 17, 2022
Jkt 256001
Number of
responses per
respondent
Number of
respondents
Type of respondents
Frm 00073
Fmt 4703
Total burden
(in hrs.)
500
1
30/60
250
42
17
1
4
15/60
60/60
11
68
17
11,667
21,667
3,000
3,000
1
1
1
1
4
15/60
30/60
30/60
45/60
60/60
4
5,834
10,834
2,250
12,000
210
210
1
4
45/60
60/60
158
840
210
1
15/60
53
........................
........................
........................
32,302
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.
Comments and recommendations for the
PO 00000
Avg. burden
per response
(in hrs.)
Sfmt 4703
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
Barriers and Facilitators to Expanding
the NHBS to Conduct HIV Behavioral
Surveillance Among Transgender
Women (NHBS-Trans) (OMB Control
No. 0920–1262, Exp. 4/30/2022)—
Revision—National Center for HIV,
Viral Hepatitis, STD, and TB Prevention
(NCHHSTP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The purpose of this project is to
demonstrate the feasibility of a national
surveillance system to monitor
behaviors of transgender women that are
related to Human Immunodeficiency
Virus (HIV) transmission and
prevention in the United States.
Findings of the NHBS-Trans project will
E:\FR\FM\18MRN1.SGM
18MRN1
]]>Agencies
[Federal Register Volume 87, Number 53 (Friday, March 18, 2022)]
[Notices]
[Pages 15429-15430]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-05757]
[[Page 15429]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-22-0234; Docket No. CDC-2022-0038]
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 this project is to assess the health
of the population through patient use of physician and advanced
practice provider offices and health centers (HCs), and to monitor the
characteristics of physician and provider practices.
DATES: CDC must receive written comments on or before May 17, 2022.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0038 by either 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 H21-8, 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 H21-8, Atlanta, Georgia 30329; phone: 404-639-7570; Email:
[email protected].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.
Proposed Project
National Ambulatory Medical Care Survey (NAMCS) (OMB Control No.
0920-0234, Exp. 07/31/2024)--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 Control
No. 0920-0278, Exp. 09/30/2023), the National Hospital Care Survey
(NHCS) (OMB Control No. 0920-0212, Exp. 03/31/2022), and National Post-
acute and Long-term Care Study (NPALS) (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) 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)
introduction of new medical technologies, and (5) 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), the increasing role of advanced practice providers
delivering clinical care, and growth in the number of alternative sites
of care.
Ambulatory services are rendered in a wide variety of settings,
including physician/provider 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,
health centers (HCs) play an important role in the health care
community by providing care to people who might not be able to afford
it otherwise. HCs are local, non-profit, community-owned health care
settings, which serve approximately 28 million individuals throughout
the United States.
This Revision seeks approval to conduct changes to all three
components of NAMCS. We plan to adjust the HC Component and Provider
Interview sample sizes. In 2022 the goal is to sample 5,000 physicians,
5,000 advanced practice providers, and 110 HCs. In 2023, we plan to
sample up to 10,000 physicians, 20,000 advanced
[[Page 15430]]
practice providers, and 210 HCs, if funds allow. Lastly, if funds
allow, in 2024 we will sample up to 20,000 physicians, 40,000 advanced
practice providers, and 310 HCs. For 2022-2024, there will be an
additional 3,000 physicians sampled yearly for the Provider Electronic
Component. Questions on the Health Center Facility Interview will be
modified. After 2021, the Physician Induction Interview will shift to a
redesigned Ambulatory Care Provider Interview. Visit data collection
via abstraction will be placed on a hold and the reinterview study will
be discontinued. The provider incentive experiment will also no longer
be taking place, as we will begin to conduct other methodological work
to improve upon the survey.
CDC requests OMB approval for an estimated 32,302 annual burden
hours. There are no costs to respondents other than their time to
participate.
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.)
----------------------------------------------------------------------------------------------------------------
Physician or Staff............ Office-Based 500 1 30/60 250
Physician
Induction
Interview.
Reinterview 42 1 15/60 11
Study.
HC's Staff.................... Prepare and 17 4 60/60 68
transmit EHR
for Visit Data
(quarterly).
Set-up fee 17 1 15/60 4
questionnaire.
Physician or Staff............ ACPI............ 11,667 1 30/60 5,834
Advanced Practice Provider or ACPI............ 21,667 1 30/60 10,834
Staff.
Ambulatory Care Provider's or PFI............. 3,000 1 45/60 2,250
Group's or Conglomerate's Prepare and 3,000 4 60/60 12,000
Staff. transmit
Electronic
Visit Data
(quarterly).
HC's Staff.................... HC Facility 210 1 45/60 158
Interview.
Prepare and 210 4 60/60 840
transmit EHR
for Visit Data
(quarterly).
Set-up fee 210 1 15/60 53
questionnaire.
---------------------------------------------------------------
Total..................... ................ .............. .............. .............. 32,302
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-05757 Filed 3-17-22; 8:45 am]
BILLING CODE 4163-18-P
