Notice2021-22697
Agency Forms Undergoing Paperwork Reduction Act Review
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 19, 2021
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 86 Issue 199 (Tuesday, October 19, 2021)</title>
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[Federal Register Volume 86, Number 199 (Tuesday, October 19, 2021)]
[Notices]
[Pages 57835-57836]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-22697]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-22-0212]
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 The National Hospital Care Survey (NHCS) to
the Office of Management and Budget (OMB) for review and approval. CDC
previously published a ``Proposed Data Collection Submitted for Public
Comment and Recommendations'' notice on July 19, 2021 to obtain
comments from the public and affected agencies. CDC received no
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 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 <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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 Hospital Care Survey (OMB Control No. 0920-0212, Exp. 03/
31/2022)--Revision--National Center for Health Statistics (NCHS),
Centers for Disease Control and Prevention (CDC).
[[Page 57836]]
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 Control No. 0920-0212, Exp. 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
Emergency Department (ED) and/or Outpatient Department (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. CDC requests a three-year
approval, and there are no costs to respondents other than their time.
Estimated Annualized Burden Hours
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Number of Average burden
Respondents Form name Number of responses per per response
respondents respondent (in hours)
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Hospital DHIM or DHIT................. Initial Hospital Intake 150 1 1
Questionnaire.
Hospital CEO/CFO...................... Recruitment Survey 150 1 1
Presentation.
Hospital DHIM or DHIT................. Prepare and transmit UB- 408 12 1
04 or State File for
Inpatient and
Ambulatory (monthly).
Hospital DHIM or DHIT................. Prepare and transmit EHR 200 4 1
for Inpatient and
Ambulatory (quarterly).
Hospital CEO/CFO...................... Annual Hospital 608 1 2
Interview.
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2021-22697 Filed 10-18-21; 8:45 am]
BILLING CODE 4163-18-P
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