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Notice2026-10039

Agency Forms Undergoing Paperwork Reduction Act Review

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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
May 20, 2026

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Full Text

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<title>Federal Register, Volume 91 Issue 97 (Wednesday, May 20, 2026)</title>
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[Federal Register Volume 91, Number 97 (Wednesday, May 20, 2026)]
[Notices]
[Pages 29494-29496]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-10039]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-26-1030]


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 February 24, 2026 to obtain comments from the public and 
affected agencies. CDC received two 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

[[Page 29495]]

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)--Reinstatement--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 the National Center for Health Statistics (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, a family of nationally representative surveys of 
encounters and health care providers in inpatient, outpatient, 
ambulatory, and post-acute and long-term care settings. This 
information collection request (ICR) is for the Reinstatement 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 
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 health policy decision-making processes. 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 
telephone or web surveys, 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, residents, 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, retail health clinics, 
and other inpatient, outpatient, ambulatory, 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, and 
allied-health professionals (e.g., certified nursing aides, medical 
assistants, radiology technicians, laboratory technicians, pharmacists, 
dieticians/nutritionists). Although not currently used, sampling frames 
such as state and organizational listings of other licensed providers 
may be studied; (2) within the National Study of Post-Acute and Long-
Term Care Providers, additional new frames may be sought, developed, 
and evaluated and data items from home care agencies, long-term care 
hospitals, and facilities exclusively serving individuals with 
intellectual or 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; (3) in the inpatient and outpatient care settings, the 
National Hospital Care Survey (NHCS) may investigate the addition of 
facility and patient information especially as it relates to insurance 
and electronic medical records.
    The National Health Care Surveys collect critical, accurate data 
that are used to produce reliable national estimates--and in recent 
years, 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 
National Health Care Surveys, 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.
    The average burden on respondents for the individual projects under 
this Generic Clearance are designed to cover 15-40 min interviews as 
well as 90-minute focus groups, longer on-site visits, and situations 
where organizations may be preparing electronic data files. CDC 
requests OMB approval for a total estimated annual burden of 3,000 
hours. There is no cost to respondents other than their time to 
participate.

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                                        Estimated Annualized Burden Hours
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                                                                                     Number of      Avg. burden
          Type of respondents                   Form name            Number of     responses per   per response
                                                                    respondents     respondent      (in hours)
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Health Care Providers and Business      Interviews, surveys,               2,582               1               1
 entities.                               focus groups,
                                         experiments (in person,
                                         phone, internet, postal/
                                         electronic mail).
Health Care Providers, State/local      Interviews, surveys,                 167               1             2.5
 government agencies, and business       focus groups,
 entities.                               experiments (in person,
                                         phone, internet, postal/
                                         electronic mail).
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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. 2026-10039 Filed 5-19-26; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on May 20, 2026.

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