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Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices
Centers for Disease Control and Prevention 60Day210234; Docket No. CDC2020
0125

Proposed Data Collection Submitted for Public Comment and Recommendations Centers for Disease Control and Prevention CDC, Department of Health and Human Services HHS.
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease Control and Prevention CDC, as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995.
This notice invites comment on a proposed information collection project titled the National Ambulatory Medical Care Survey NAMCS. The goal of the project is to assess the health of the population through patient use of physician offices, community health centers CHCs, and to monitor the characteristics of physician practices.
DATES: CDC must receive written comments on or before March 29, 2021.
ADDRESSES: You may submit comments, identified by Docket No. CDC2020
0125 by any of the following methods:
Federal eRulemaking Portal:
Regulations.gov. Follow the instructions for submitting comments.
Mail: Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600
Clifton Road NE, MSD74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name and Docket Number. CDC will post, without change, all relevant comments to Regulations.gov.
Please note: Submit all comments through the Federal eRulemaking portal regulations.gov or by U.S. mail to the address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffrey M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS
D74, Atlanta, Georgia 30329; phone:
4046397570; Email: omb@cdc.gov.
SUMMARY:

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Under the Paperwork Reduction Act of 1995 PRA
44 U.S.C. 35013520, Federal agencies must obtain approval from the Office of Management and Budget OMB for each collection of information they conduct or sponsor. In addition, the PRA also requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each new proposed collection, each proposed extension of existing collection of information, and each reinstatement of previously approved information collection before submitting the collection to the OMB for approval. To comply with this requirement, we are publishing this notice of a proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agencys estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to be collected; and 4. 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 submissions of responses.
5. Assess information collection costs.

SUPPLEMENTARY INFORMATION:

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Proposed Project National Ambulatory Medical Care Survey NAMCS OMB Control No.
09200234, Exp. 05/31/2022
RevisionNational 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 providerbased surveys that capture health care utilization from a variety of settings, including hospital in-patient and long-

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term care facilities. NCHS surveys of health care providers include NAMCS, the National Hospital Ambulatory Medical Care Survey NHAMCS OMB
Control No. 09200278, Exp. 09/30/
2023, the National Hospital Care Survey OMB Control No. 09200212, Exp. 03/31/2022, and National Postacute and Long-term Care Study OMB
Control No. 09200943, Exp. 09/30/
2023.
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 monitor the nations health. 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 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 officebased practices owned by hospitals, and growth in the number of alternative sites of care.
Ambulatory services are rendered in a wide variety of settings, including physician 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, community health centers CHCs play an important role in the health care community by providing care to people who might not be able to afford it, otherwise. CHCs are local, non-profit, community-owned health care settings, which serve approximately 28 million individuals throughout the United States.
This revision seeks approval to adjust the CHC sample size. In 2021, the sample size will be reduced to 50 CHCs, and in 2022 allocated funds will cover a sample size of 110 CHCs. In 2023 the sample size will increase to 115 CHCs.
There will be no modification to the office-based physician sample. In the 2021 survey year we will include the supplemental sample of physicians from
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