Agency Forms Undergoing Paperwork Reduction Act Review, 104160-104162 [2024-30480]

Download as PDF 104160 Federal Register / Vol. 89, No. 245 / Friday, December 20, 2024 / Notices 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 Comprehensive Evaluation of the Implementation and Uptake of the CDC Clinical Practice Guideline for Prescribing Opioids for Pain—New— National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC). Background and Brief Description Beginning in the 1990s, opioid prescribing rates for pain management steadily increased until 2010, remained steady until 2012, and have declined since then. The increase in opioid prescribing rates corresponded with increases in opioid-involved overdose deaths, which initially primarily involved prescription opioids (natural and semi-synthetic opioids and methadone). In response to this emerging crisis, CDC issued the CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016 (2016 CDC Guideline). Implementing the 2016 CDC Guideline was associated with reductions in opioid prescribing and increases in use of non-opioid medications for pain. At the same time, laws and policies related to prescribing opioids were instituted that misapplied or were inconsistent with the 2016 CDC Guideline, potentially contributing to patient harm. In 2022, CDC released the CDC Clinical Practice Guideline for Prescribing Opioids for Pain—United States, 2022, (2022 CDC Clinical Practice Guideline) which provided up to date evidence regarding pain management approaches and reemphasizes the need for prescribers to be focused on patient-centered care to provide effective pain management. CDC is comprehensively evaluating the uptake, implementation, and outcomes of the 2022 CDC Clinical Practice Guideline on evidence-based care for pain management to understand its impact. To meet CDC’s goal for a rigorous, comprehensive evaluation, this collection is proposing a mixed-method quasi-experimental approach to evaluate the 2022 CDC Clinical Practice Guideline. The evaluation includes dissemination and impact of the 2022 CDC Clinical Practice Guideline through population-wide changes in prescribing practices for opioids and medications for opioid use disorder. Also, evaluation of the implementation of the 2022 CDC Clinical Practice Guideline comes from perspectives of patients, caregivers, clinicians; and leaders from health systems, payers, professional associations, and medical boards. CDC will use this information collection to evaluate the dissemination, impact, and implementation of the 2022 CDC Clinical Practice Guideline to ensure that Americans have access to safer, effective ways of managing their pain. CDC requests OMB approval for an estimated 310 annual burden hours. There are no costs to respondents other than their time. ESTIMATED ANNUALIZED BURDEN HOURS Form name Clinicians ......................................................... Clinician Survey ............................................. Invitation ......................................................... Follow up Emails ............................................ Clinician Interview .......................................... Dentist Interview ............................................. Health System Leaders Interview .................. Payer Interview .............................................. Professional Association Leaders Interview .. Medical Board Leaders Interview .................. Patient Focus Groups .................................... Caregiver Focus Groups ................................ Dentists ........................................................... Health System Leaders .................................. Payers ............................................................. Professional Association Leaders ................... Medical Board Leaders ................................... Patients ........................................................... Caregivers ....................................................... Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Public Health Ethics and Regulations, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2024–30482 Filed 12–19–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES ddrumheller on DSK120RN23PROD with NOTICES1 Number of respondents Type of respondents Centers for Disease Control and Prevention [30Day–25–0234] Agency Forms Undergoing Paperwork Reduction Act Review In accordance with the Paperwork Reduction Act of 1995, the Centers for VerDate Sep<11>2014 20:12 Dec 19, 2024 Jkt 265001 Disease Control and Prevention (CDC) has submitted the information collection request titled ‘‘National Ambulatory Medical Care Survey (NAMCS)’’ to the Office of Management and Budget (OMB) for review and approval. CDC previously published a ‘‘Proposed Data Collection Submitted for Public Comment and Recommendations’’ notice on September 20, 2024 to obtain comments from the public and affected agencies. CDC did not receive comments related to the previous notice. This notice serves to allow an additional 30 days for public and affected agency comments. CDC will accept all comments for this proposed information collection project. The Office of Management and Budget PO 00000 Frm 00089 Fmt 4703 Sfmt 4703 200 1000 1000 10 2 3 3 3 3 15 15 Number of responses per respondent 1 1 1 1 1 2 2 2 2 3 2 Average burden per response (in hours) 10/60 5/60 5/60 1 1 1 1 1 1 1 1 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 E:\FR\FM\20DEN1.SGM 20DEN1 104161 Federal Register / Vol. 89, No. 245 / Friday, December 20, 2024 / Notices 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 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 National Ambulatory Medical Care Survey (NAMCS) (OMB Control No. 0920–0234, Exp. 11/30/2025)— 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 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 over 30 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 Survey Component sample sizes. In 2025 the goal is to sample 10,000 advanced practice providers and up to 151 HCs. In 2026 CDC plans to sample up to 10,000 physicians and up to 171 HCs. Lastly, if funds allow, in 2027 we will sample up to 10,000 advanced practice providers and up to 191 HCs. For 2025–2027, there will be an additional 3,000 providers sampled yearly for the Provider Electronic Component. Additionally, questions on the Provider Facility Interview, Health Center Facility Interview and the Ambulatory Care Provider Interview will be modified. CDC requests OMB approval for an estimated annual 22,107 burden hours. There is no cost to respondents other than their time. 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. NHCS surveys of health care providers include NAMCS, the National Electronic Health Records Survey (NEHRS, OMB Control No. 0920–1015), the National Hospital Care Survey (OMB Control No. 0920–0212), and the National Post-acute and Long-term Care Study (OMB Control No. 0920–0943). 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), the increasing role of advanced practice providers delivering clinical care, and growth in the number of alternative sites of care. ESTIMATED ANNUALIZED BURDEN HOURS Form name HC’s Staff ......................................... HC Facility Interview Questionnaire (Survey year: 2024). Prepare and transmit EHR for Visit Data (quarterly) (Survey year: 2024). Set-up Fee Questionnaire (Survey year: 2024) ........... ACPI (Survey year: 2026) ............................................. Contact Tracing (Survey year: 2026) ........................... ACPI (Survey year: 2025 & 2027) ................................ Contact Tracing (Survey year: 2025 & 2027) ............... PFI (Survey year: 2025–2027) ..................................... Prepare and transmit Electronic Visit Data (quarterly) (Survey year: 2025–2027). HC Facility Interview Questionnaire (Survey year: 2025–2027). Prepare and transmit EHR for Visit Data (quarterly) (Survey year: 2025–2027). Set-up Fee Questionnaire (Survey year: 2025–2027) Provider or Staff ............................... Advanced Practice Provider or Staff ddrumheller on DSK120RN23PROD with NOTICES1 Number of respondents Type of respondents Ambulatory Care Provider’s or Group’s or Conglomerate’s Staff. HC’s Staff ......................................... VerDate Sep<11>2014 20:12 Dec 19, 2024 Jkt 265001 PO 00000 Frm 00090 Fmt 4703 Sfmt 4703 Number of responses per respondent Avg. burden per response (in hrs.) 84 1 45/60 50 4 60/60 17 3,333 3,333 6,667 6,667 3000 3000 1 1 1 1 1 1 4 15/60 30/60 10/60 30/60 10/60 45/60 60/60 221 1 45/60 188 4 60/60 17 1 15/60 E:\FR\FM\20DEN1.SGM 20DEN1 104162 Federal Register / Vol. 89, No. 245 / Friday, December 20, 2024 / Notices Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Public Health Ethics and Regulations, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2024–30480 Filed 12–19–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Safety and Occupational Health Study Section; Notice of Solicitation of Nominations for Appointment; Correction Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice; correction. AGENCY: In accordance with the Federal Advisory Committee Act, the Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), is seeking nominations for membership on the Safety and Occupational Health Study Section (SOHSS). SOHSS consists of 20 experts in fields associated with occupational medicine and nursing, industrial hygiene, occupational safety and engineering, toxicology, chemistry, safety and health education, ergonomics, epidemiology, economic science, psychology, pulmonary pathology/physiology, and social science. DATES: Nominations for membership on SOHSS must be received no later than January 31, 2025. Packages received after this time will not be considered for the current membership cycle. ADDRESSES: All nominations should be mailed to Dr. Michael Goldcamp, 1095 Willowdale Road, Morgantown, West Virginia 26505 or emailed to MGoldcamp@cdc.gov. FOR FURTHER INFORMATION CONTACT: Michael Goldcamp, Ph.D., Scientific Review Officer, Office of Extramural Programs, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1095 Willowdale Road, Morgantown, West Virginia 26505. Telephone: (304) 285–5951; email: MGoldcamp@cdc.gov. SUPPLEMENTARY INFORMATION: ddrumheller on DSK120RN23PROD with NOTICES1 SUMMARY: Correction Notice is hereby given of a correction in the SUPPLEMENTARY INFORMATION section of the original solicitation of nominations notice, which was VerDate Sep<11>2014 20:12 Dec 19, 2024 Jkt 265001 published in the Federal Register on December 2, 2024, 89 FR 95214. The notice is being amended to remove the sentence concerning Special Government Employees, since members of the Safety and Occupational Health Study Section serve as Peer Review Consultants. The SUPPLEMENTARY INFORMATION section should read as follows: SUPPLEMENTARY INFORMATION: Nominations are sought for individuals who have the expertise and qualifications necessary to contribute to the accomplishment of the objectives of the Safety and Occupational Health Study Section (SOHSS). Nominees will be selected based on expertise in the fields of occupational medicine and nursing, industrial hygiene, occupational safety and engineering, toxicology, chemistry, safety and health education, ergonomics, epidemiology, economic science, psychology, pulmonary pathology/physiology, and social science. Members may be invited to serve up to four-year terms. Selection of members is based on candidates’ qualifications to contribute to the accomplishment of SOHSS objectives (https://www.cdc.gov/faca/committees/ sohss.html). Department of Health and Human Services (HHS) policy stipulates that committee membership be balanced in terms of points of view represented and the committee’s function. Appointments shall be made without discrimination on the basis of age, race, ethnicity, gender, sexual orientation, gender identity, HIV status, disability, and cultural, religious, or socioeconomic status. Nominees must be U.S. citizens and cannot be full-time employees of the U.S. Government. Current participation on Federal workgroups or prior experience serving on a Federal advisory committee does not disqualify a candidate; however, HHS policy is to avoid excessive individual service on advisory committees and multiple committee memberships. The Centers for Disease Control and Prevention (CDC) reviews potential candidates for SOHSS membership each year and provides a slate of nominees for consideration to the Secretary of HHS for final selection. HHS notifies selected candidates of their appointment near the start of the term in October 2025, or as soon as the HHS selection process is completed. Note that the need for different expertise varies from year to year and a candidate who is not selected in one year may be reconsidered in a subsequent year. Candidates should submit the following items: PO 00000 Frm 00091 Fmt 4703 Sfmt 4703 D Current curriculum vitae, including complete contact information (telephone numbers, mailing address, email address). D At least one letter of recommendation from person(s) not employed by HHS. Candidates may submit letter(s) from current HHS employees if they wish, but at least one letter must be submitted by a person not employed by an HHS agency (e.g., CDC, National Institutes of Health, Food and Drug Administration). Nominations may be submitted by the candidate or by the person/organization recommending the candidate. The Director, Office of Strategic Business Initiatives, Office of the Chief Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Kalwant Smagh, Director, Office of Strategic Business Initiatives, Office of the Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2024–30410 Filed 12–19–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Award of a Sole Source Cooperative Agreement to Fund Secretaria Ejecutiva del Consejo de Ministros de Salud de Centroamerica y Republica Dominicana (SE–COMISCA) Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice. AGENCY: The Centers for Disease Control and Prevention (CDC), located within the Department of Health and Human Services (HHS), announces the award of approximately $5,000,000, with an expected total funding of approximately $25,000,000 over a 5-year period, to SE–COMISCA. The award will build upon previous efforts by the CDC in collaboration with Ministries of Health of Central America and the Dominican Republic (SE–COMISCA). DATES: The period for this award will be September 30, 2025 through September 29, 2030. SUMMARY: E:\FR\FM\20DEN1.SGM 20DEN1

Agencies

[Federal Register Volume 89, Number 245 (Friday, December 20, 2024)]
[Notices]
[Pages 104160-104162]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-30480]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-25-0234]


Agency Forms Undergoing Paperwork Reduction Act Review

    In accordance with the Paperwork Reduction Act of 1995, the Centers 
for Disease Control and Prevention (CDC) has submitted the information 
collection request titled ``National Ambulatory Medical Care Survey 
(NAMCS)'' to the Office of Management and Budget (OMB) for review and 
approval. CDC previously published a ``Proposed Data Collection 
Submitted for Public Comment and Recommendations'' notice on September 
20, 2024 to obtain comments from the public and affected agencies. CDC 
did not receive comments related to the previous notice. This notice 
serves to allow an additional 30 days for public and affected agency 
comments.
    CDC will accept all comments for this proposed information 
collection project. The Office of Management and Budget is particularly 
interested in comments that:
    (a) Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    (b) Evaluate the accuracy of the agencies estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (c) Enhance the quality, utility, and clarity of the information to 
be collected;
    (d) Minimize the burden of the collection of information on those 
who are to respond, including, through the use of appropriate 
automated, electronic, mechanical, or other

[[Page 104161]]

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 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

    National Ambulatory Medical Care Survey (NAMCS) (OMB Control No. 
0920-0234, Exp. 11/30/2025)--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. NHCS surveys of health care providers include NAMCS, the 
National Electronic Health Records Survey (NEHRS, OMB Control No. 0920-
1015), the National Hospital Care Survey (OMB Control No. 0920-0212), 
and the National Post-acute and Long-term Care Study (OMB Control No. 
0920-0943).
    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), 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 over 30 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 
Survey Component sample sizes. In 2025 the goal is to sample 10,000 
advanced practice providers and up to 151 HCs. In 2026 CDC plans to 
sample up to 10,000 physicians and up to 171 HCs. Lastly, if funds 
allow, in 2027 we will sample up to 10,000 advanced practice providers 
and up to 191 HCs. For 2025-2027, there will be an additional 3,000 
providers sampled yearly for the Provider Electronic Component. 
Additionally, questions on the Provider Facility Interview, Health 
Center Facility Interview and the Ambulatory Care Provider Interview 
will be modified. CDC requests OMB approval for an estimated annual 
22,107 burden hours. There is no cost to respondents other than their 
time.

                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                                    Number of       Avg. burden
          Type of respondents                   Form name            Number of    responses per    per response
                                                                    respondents     respondent       (in hrs.)
----------------------------------------------------------------------------------------------------------------
HC's Staff............................  HC Facility Interview                84                1           45/60
                                         Questionnaire (Survey
                                         year: 2024).
                                        Prepare and transmit EHR             50                4           60/60
                                         for Visit Data
                                         (quarterly) (Survey
                                         year: 2024).
                                        Set-up Fee Questionnaire             17                1           15/60
                                         (Survey year: 2024).
Provider or Staff.....................  ACPI (Survey year: 2026).         3,333                1           30/60
                                        Contact Tracing (Survey           3,333                1           10/60
                                         year: 2026).
Advanced Practice Provider or Staff...  ACPI (Survey year: 2025 &         6,667                1           30/60
                                         2027).
                                        Contact Tracing (Survey           6,667                1           10/60
                                         year: 2025 & 2027).
Ambulatory Care Provider's or Group's   PFI (Survey year: 2025-            3000                1           45/60
 or Conglomerate's Staff.                2027).                            3000                4           60/60
                                        Prepare and transmit
                                         Electronic Visit Data
                                         (quarterly) (Survey
                                         year: 2025-2027).
HC's Staff............................  HC Facility Interview               221                1           45/60
                                         Questionnaire (Survey
                                         year: 2025-2027).
                                        Prepare and transmit EHR            188                4           60/60
                                         for Visit Data
                                         (quarterly) (Survey
                                         year: 2025-2027).
                                        Set-up Fee Questionnaire             17                1           15/60
                                         (Survey year: 2025-2027).
----------------------------------------------------------------------------------------------------------------



[[Page 104162]]

Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health 
Ethics and Regulations, Office of Science, Centers for Disease Control 
and Prevention.
[FR Doc. 2024-30480 Filed 12-19-24; 8:45 am]
BILLING CODE 4163-18-P
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