Notice2022-27504
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
December 20, 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 243 (Tuesday, December 20, 2022)</title>
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[Federal Register Volume 87, Number 243 (Tuesday, December 20, 2022)]
[Notices]
[Pages 77836-77838]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-27504]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-23-1030]
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 ``Developmental Studies to Improve the
National Health Care Surveys'' 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 30, 2022 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 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
Developmental Studies to Improve the National Health Care Surveys
(OMB Control No. 0920-1030, Exp. 06/30/2023)--Extension--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 the Secretary of Health and Human
Services (DHHS), acting through the Division of Health Care Statistics
(DHCS) within NCHS, shall collect statistics on the extent and nature
of illness and disability of the population of the United States.
The DHCS conducts the National Health Care Surveys (NHCS), a family
of nationally representative surveys of encounters and health care
providers in inpatient, ambulatory, and long-term care settings. This
information collection request (ICR) is for the extension of a generic
clearance to conduct developmental studies to improve this family of
surveys. This three-year clearance period will include studies to
evaluate and improve upon existing survey design and operations, as
well as to examine the feasibility of, and address challenges that may
arise with, future expansions of the National Health Care Surveys.
Specifically, this request covers developmental research with the
[[Page 77837]]
following aims: (1) to explore ways to refine and improve upon existing
survey designs and procedures; and (2) to explore and evaluate proposed
survey designs and alternative approaches to data collection. The goal
of these research studies is to further enhance DHCS existing and
future data collection protocols to increase research capacity and
improve health care data quality for the purpose of monitoring public
health and well-being at the national, state and local levels, thereby
informing the health policy decision-making process. The information
collected through this Generic ICR will not be used to make
generalizable statements about the population of interest or to inform
public policy; however, methodological findings may be reported.
This Generic ICR would include studies conducted in person, via the
telephone or internet, and by postal or electronic mail. Methods
covered would include qualitative (e.g., usability testing, focus
groups, ethnographic studies, and respondent debriefing questionnaires)
and/or quantitative (e.g., pilot tests, pre-tests and split sample
experiments) research methodologies. Examples of studies to improve
existing survey designs and procedures may include evaluation of
incentive approaches to improve recruitment and increase participation
rates; testing of new survey items to obtain additional data on
providers, patients, and their encounters while minimizing
misinterpretation and human error in data collection; testing data
collection in panel surveys; triangulating and validating survey
responses from multiple data sources; assessment of the feasibility of
data retrieval; and development of protocols that will locate,
identify, and collect accurate survey data in the least labor-intensive
and burdensome manner at the sampled practice site.
To explore and evaluate proposed survey designs and alternative
approaches to collecting data, especially with the nationwide adoption
of electronic health records, studies may expand the evaluation of data
extraction of electronic health records and submission via continuity
of care documentation to small/mid-size/large medical providers and
hospital networks, managed care health plans, prison-hospitals, and
other inpatient, outpatient, and long-term care settings that are
currently either in-scope or out-of-scope of the National Health Care
Surveys. Research on feasibility, data quality and respondent burden
also may be carried out in the context of developing new surveys of
health care providers and establishments that are currently out-of-
scope of the National Health Care Surveys.
Specific motivations for conducting developmental studies include:
(1) within the National Ambulatory Medical Care Survey (NAMCS), new
clinical groups may be expanded to include dentists, psychologists,
podiatrists, chiropractors, optometrists), mid-level providers (e.g.,
physician assistants, advanced practice nurses, nurse practitioners,
certified nurse midwives) and allied-health professionals (e.g.,
certified nursing aides, medical assistants, radiology technicians,
laboratory technicians, pharmacists, dieticians/nutritionists). Current
sampling frames such as those from the American Medical Association may
be obtained and studied, as well as frames that are not currently in
use by NAMCS, such as state and organizational listings of other
licensed providers; (2) within the National Study of Long-Term Care
Providers, additional new frames may be sought and evaluated and data
items from home care agencies, long-term care hospitals, and facilities
exclusively serving individuals with intellectual/developmental
disability may be tested. Similarly, data may be obtained from lists
compiled by states and other organizations. Data about the facilities
as well as residents and their visits will be investigated; and (3) in
the inpatient and outpatient care settings, the National Hospital Care
Survey (NHCS) and the National Hospital Ambulatory Medical Care Survey
(NHAMCS) may investigate the addition of facility and patient
information especially as it relates to insurance and electronic
medical records.
Projects under development or in the planning stages include two
projects related to opioid use: one that will investigate adding
questions to NAMCS on physician understanding of guidelines for opioid
use and one that will test the validation of an algorithm for
identifying opioid-involved hospital visits. Another study will develop
a Hospital-Based Victim Services Frame.
The NHCSs collect critical, accurate data that are used to produce
reliable national estimates--and in recent years (when budget allows),
state-level estimates--of clinical services and of the providers who
delivered those services in inpatient, outpatient, ambulatory, and
long-term care settings. The data from these surveys are used by
providers, policy makers and researchers to address important topics of
interest, including the quality and disparities of care among
populations, epidemiology of medical conditions, diffusion of
technologies, effects of policies and practice guidelines, and changes
in health care over time. Research studies need to be conducted to
improve existing and proposed survey design and procedures of the
NHCSs, as well as to evaluate alternative data collection approaches
particularly due to the expansion of electronic health record use, and
to develop new sample frames of currently out-of-scope providers and
settings of care.
Average burdens are designed to cover 15-40 min interviews as well
as 90-minute focus groups, as well as longer on-site visits, and
situations where organizations may be preparing electronic data files.
CDC requests OMB approval for an estimated 3,000 annual burden hours.
There is no cost to respondents other than their time to participate.
Table 1--Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
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Health Care Providers and.......... Interviews, surveys, focus 2,582 1 1
Business entities.................. groups, experiments (in
person, phone, internet,
postal/electronic mail).
Health Care Providers,State/local Interviews, surveys, focus 167 1 2.5
government agencies, and business groups, experiments (in
entities. person, phone, internet,
postal/electronic mail).
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[[Page 77838]]
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-27504 Filed 12-19-22; 8:45 am]
BILLING CODE 4163-18-P
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