View Information Collection Request (ICR) Package

OMB Control No: 0920-0278	ICR Reference No: 201001-0920-001
Status: Historical Active	Previous ICR Reference No: 200907-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Hospital Ambulatory Medical Care Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/19/2010
	Date Received in OIRA: 01/11/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	08/31/2012	08/31/2012
Responses	128,141	0	128,141
Time Burden (Hours)	10,832	0	10,832
Cost Burden (Dollars)	0	0	0

Abstract: This request is for the revision of an approved data collection (OMB No. 0920-0278), the National Hospital Ambulatory Medical Care Survey (NHAMCS), for the purpose of collecting data for the years 2010, 2011, and 2012 and for the expanding the data collection to free-standing ambulatory surgery centers (FS-ASCs). The NHAMCS is a national survey of patient visits to emergency and outpatient departments and hospital-based ambulatory surgery centers of general and short stay hospitals. We propose to revise NHAMCS in 2010 for the purpose of collecting data from free-standing ambulatory surgery centers which formerly was collected as part of a separate approved survey, the National Survey of Ambulatory Surgery (NSAS) (OMB 0920-0334). We propose, in this package, to add the collection of data from free-standing ambulatory surgery centers to NHAMCS in 2010. In addition, this package requests approval for minor changes to the NHAMCS forms to allow for data collection from FS-ASCs and to update the forms for the emergency and outpatient departments based on past performance. We also seek approval to continue collection of the NHAMCS Cervical Cancer Screening Supplement, which has been collected since 2006.

Authorizing Statute(s): US Code: 42 USC 306 Name of Law: Public Health Service Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 6163	02/05/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 29489	06/22/2009
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
ASC Patient Record Form	unnumbered
Ambulatory Unit Record	unnumbered
Cervical Cancer Screening Supplement	unnumbered
ED Patient Record Form	unnumbered
Freestanding ASC Induction Form	none
Hospital Induction Form	none
OPD Patient Record Form	unnumbered
Pulling and re-filing Patient Records

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	128,141	128,141
Annual Time Burden (Hours)	10,832	10,832
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $4,473,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Maryam Daneshvar 4046394604

View ICR - OIRA Conclusion