[Federal Register: June 22, 2009 (Volume 74, Number 118)]
[Notices]               
[Page 29489-29490]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr22jn09-64]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-09-0278]

 
Agency Forms Undergoing Paperwork Reduction Act Review

    The Centers for Disease Control and Prevention (CDC) publishes a 
list of information collection requests under review by the Office of 
Management and Budget (OMB) in compliance with the requirement of 
Section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995. To 
request a copy of these requests, call the CDC Reports Clearance 
Officer at (404) 639-5960 or send an e-mail to omb@cdc.gov. Send 
written comments to CDC Desk Officer, Office of Management and Budget, 
Washington, DC or by fax to (202) 395-6974. Written comments should be 
received within 30 days of this notice.

Proposed Project

    National Hospital Ambulatory Medical Care Survey [OMB No. 0920-
0278]--Revision--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 that the Secretary of Health and Human 
Services (DHHS), acting through NCHS, shall collect statistics on 
``utilization of health care'' in the United States. The National 
Hospital Ambulatory Medical Care Survey (NHAMCS) has been conducted 
annually since 1992. This revision seeks approval to collect data for 
an additional three years and to expand the survey to include free-
standing ambulatory surgical centers. The purpose of NHAMCS is to meet 
the needs and demands for statistical information about the provision 
of ambulatory medical care services in the United States. Ambulatory 
services are rendered in a wide variety of settings, including 
physicians' offices and hospital outpatient and emergency departments.
    The target universe of NHAMCS is in-person visits made to emergency 
departments (EDs) and outpatient departments (OPDs) of non-Federal, 
short-stay hospitals (hospitals with an average length of stay of fewer 
than 30 days) or those whose specialty is general (medical or surgical) 
or children's general. In 2009, NHAMCS was expanded to include visits 
to hospital-based ambulatory surgery centers (ASCs). NCHS seeks OMB 
approval to expand NHAMCS to include free-standing ASCs in 2010. The 
objective of this new collection will be to collect data about free-
standing ambulatory surgery centers, the patients they serve, and the 
services they deliver. The intent is for NHAMCS to become the principal 
source of data on ASC services in the United States. The data to be 
collected include patient characteristics, diagnoses, surgical and 
nonsurgical procedures, provider and type of anesthesia, time in and 
out of surgery and postoperative care, and discharge disposition.
    Users of NHAMCS data include, but are not limited to, congressional 
offices, Federal agencies, State and local governments, schools of 
public health, colleges and universities, private industry, nonprofit 
foundations, professional associations, clinicians, researchers, 
administrators, and health planners. There are no costs to the 
respondents other than their time. The

[[Page 29490]]

total estimated annualized burden hours are 10,832.

                                        Estimated Annualized Burden Table
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
                                                                      No. of          No. of        burden per
          Type of respondent                    Form name           respondents    responses per   response (in
                                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
Hospital Chief Executive Officer......  Hospital Induction                   482               1               1
                                         (NHAMCS-101).
Ancillary Service Executive...........  Freestanding ASC                     200               1             1.5
                                         Induction (NHAMCS-
                                         101FS).
Ancillary Service Executive...........  Ambulatory Unit                    1,779               1               1
                                         Induction (NHAMCS-101U).
Physician/Registered Nurse/Medical      ED Patient Record form               225             100            7/60
 Record Clerk.                           NHAMCS-100 (ED).
Physician/Registered Nurse/Medical      OPD Patient Record form              128             200            6/60
 Record Clerk.                           NHAMCS-100 (OPD).
Physician/Registered Nurse/Medical      ASC Patient Record Form              208             100            6/60
 Record Clerk.                           NHAMCS-100 (ASC).
Medical Record Clerk..................  Pulling and re-filing                425             133            1/60
                                         Patient Records (ED,
                                         OPD, and ASC).
Physician/Physician Assistant/Nurse     Cervical Cancer                      255               1           15/60
 Practitioner/Nurse Midwife.             Screening Supplement
                                         (CCSS) (NHAMCS-906).
----------------------------------------------------------------------------------------------------------------


    Dated: June 15, 2009.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Office of the Chief Science Officer, 
Centers for Disease Control and Prevention.
[FR Doc. E9-14553 Filed 6-19-09; 8:45 am]

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