View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0234
ICR Reference No:
201002-0920-004
Status:
Historical Active
Previous ICR Reference No:
200906-0920-008
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
National Ambulatory Medical Care Survey
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/26/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/04/2010
Terms of Clearance:
When changes to the electronic medical records portion of this study are beginning to be considered, they should be shared with OMB to ensure coordination among the various Health IT initiatives (i.e., prior to submission of a change package to ROCIS). Prior terms continue:NCHS and OMB note that, should sufficient funding become available, it would be useful to add a quality assurance component that includes re-abstraction of medical records in the field. OMB also requests that NCHS explore more systematically the implications of the under-representation of larger, higher volume practices on the reported results (e.g., trends in care), and within six months, discuss your findings with our study design experts whether weighting might be in order.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2013
36 Months From Approved
07/31/2012
Responses
51,469
0
47,271
Time Burden (Hours)
7,372
0
5,932
Cost Burden (Dollars)
0
0
0
Abstract:
Data collected from office-based physicians, and community health center providers, concerning patient visits are aggregated to national statistics. This request will permit NAMCS to continue data collection on electronic medical record (EMR) with a five-fold increase in sample size starting in 2010. Increasing the sample size for the EMR mail survey allows the rate of EMR use to be estimated at the state level. This ICR is being submitted under Section 1512 of the American Recoveryand and Reinvestment Act of 2009, Public Law 111-5.
Authorizing Statute(s):
US Code:
42 USC 242K
Name of Law: Public Health Service Act
PL:
Pub.L. 111 - 5 1512
Name of Law: American Recovery and Reinvestment Act of 2009
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 5660
01/30/2009
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 4824
01/29/2010
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Electronic Medical Record/Electronic Health Record Mail Survey Form
unnumbered
EMR/EHR Mail Survey form
Lab Values Pretest Induction form
unnumbered
Lab Values Pretest Induction form
NAMCS EMR/EHR Mail Survey (Line 6)
6
NAMCS EMR/EHR Mail Survey (Line 6)
NAMCS-1 Physician Induction Interview (Line 1)
1
NAMCS-1 Physician Induction Interview (Line 1)
NAMCS-201 Community Health Center Induction Interview (Line 2)
2
NAMCS-201 Community Health Center Induction Interview (Line 2)
NAMCS-30 Patient Record form (Line 3)
3
NAMCS-30 Patient Record form (Line 3)
NAMCS-CCS Cervical Cancer Screening Supplement (Line 5)
5
NAMCS-CCS Cervical Cancer Screening Supplement (Line 5)
Pulling and re-filing Patient Record form (Line 4)
4
Pulling and re-filing Patient Record form (Line 4)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
51,469
47,271
0
4,198
0
0
Annual Time Burden (Hours)
7,372
5,932
0
1,440
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The estimated annualized burden hours are higher in the current OMB request due to the expansion of the sample to provide state estimates of electronic medical record use.
Annual Cost to Federal Government:
$5,224,608
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:
Petunia Gissendaner 4046390164
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/04/2010
An official website of the United States government
The .gov means it's official.
The site is secure.
