Notice2022-21218
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
September 30, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 87 Issue 189 (Friday, September 30, 2022)</title>
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[Federal Register Volume 87, Number 189 (Friday, September 30, 2022)]
[Notices]
[Pages 59427-59429]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-21218]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-22-0234]
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 ``The 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 March 18,
2022, to obtain comments from the public and affected agencies. One
non-substantive public comment was received 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 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), 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 collect, analyze, and disseminate timely, relevant, and accurate
health data and statistics. 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
[[Page 59428]]
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
29 million individuals throughout the United States. NAMCS collects and
provides data on HCs via the NAMCS HC Component. In addition to the HC
component NAMCS includes a Provider Interview Component and a Provider
Electronic Component. The Provider Interview Component samples
ambulatory care providers to collect information on their
characteristics and the characteristics of their practice. The Provider
Electronic Component gathers information on a sample of electronic data
providers including characteristics of the provider, as well as a full
year of electronic patient visit data. Lastly, the HC Component samples
HCs and collects characteristics of the center as well as a full year
of electronic patient visit data.
This revision seeks approval to continue previously approved survey
activities for the completion of the 2022 HC Component's data and to
conduct the full 2023, 2024, and 2025 data years. CDC plans to
implement changes to all three components of NAMCS. HC Component and
Provider Interview Component sample sizes will be adjusted. In 2022,
the goal is to target 100 HCs overall, while the Provider Interview
Component is paused for redesign. In 2023, the goal for NAMCS is to
sample 5,000 physicians, 5,000 advanced practice providers, and up to
150 HCs overall. In 2024, we plan to sample up to 10,000 physicians,
20,000 advanced practice providers, and up to 200 HCs overall (if funds
allow). Lastly, in 2025 CDC will sample up to 20,000 physicians, 40,000
advanced practice providers, and up to 250 HCs overall.
For 2023-2025, there will be an additional 3,000 physicians sampled
yearly for the Provider Electronic Component. The Provider Electronic
Component is modifying its Provider Facility Interview questionnaire
and there are plans to implement a set-up fee in the future. Also, for
the Provider Electronic Component we plan to conduct research on
supplementing electronic visit data with electronic data obtained from
third-party sources. Questions on the Health Center Facility Interview
questionnaire will be modified, and a Set-up Fee Questionnaire will be
implemented. In 2023, the Physician Induction Interview will shift to a
redesigned Ambulatory Care Provider Interview. Also beginning in 2023,
a Tracing Questionnaire will be utilized for the Provider Interview
Component, to increase response rates. Visit data collection via
abstraction will be placed on hold to evaluate improved methods for
collection of these data, 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 37,744 burden hours.
There are no costs to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hrs.)
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HC Staff.............................. HC Facility Interview 73 1 45/60
questionnaire (Survey
year: 2022).
Prepare and transmit EHR 33 4 60/60
for Visit Data
(quarterly) (Survey
year: 2022).
Set-up Fee Questionnaire 33 1 15/60
(Survey year: 2022).
Physician or Staff.................... ACPI (Survey year: 2023- 11,667 1 30/60
2025).
Contact Tracing (Survey 11,667 1 10/60
year: 2023-2025).
Advanced Practice Provider or Staff... ACPI (Survey year: 2023- 21,667 1 30/60
2025). 21,667 1 10/60
Contact Tracing (Survey
year: 2023-2025).
Ambulatory Care Provider or Group or PFI Survey year: 2023- 3,000 1 45/60
Conglomerate Staff. 2025). 3,000 4 60/60
Prepare and transmit
Electronic Visit Data
(quarterly) (Survey
year: 2023-2025).
HC Staff.............................. HC Facility Interview 300 1 45/60
questionnaire (Survey
year: 2023-2025).
Prepare and transmit EHR 200 4 60/60
for Visit Data
(quarterly) (Survey
year: 2023-2025).
Set-up Fee Questionnaire 200 1 15/60
(Survey year: 2023-
2025).
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[[Page 59429]]
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-21218 Filed 9-29-22; 8:45 am]
BILLING CODE 4163-18-P
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