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:
201102-0920-016
Status:
Historical Active
Previous ICR Reference No:
201010-0920-006
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:
03/28/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/25/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2013
36 Months From Approved
02/28/2013
Responses
71,827
0
51,469
Time Burden (Hours)
11,502
0
7,372
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 in 2011 to collect electronic medical record (EMR) that has been approved in 2008. Numerous changes are requested for the 2011-2013 period, including: 1)increasing the sample size by 1,500 physicians, 2)introudce a provider-based mail survey to assess physician workflow before and after EMR implementation, 3) an asthma supplement for 2012, 4) questions on NAMCS induction form about complementary and alternative medicine for 2012, and 5) sample of 300 physicians to for pretests.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 1512
Name of Law: American Recovery and Reinvestment Act of 2009
US Code:
42 USC 242K
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:
75 FR 39947
07/13/2010
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 7858
02/11/2011
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
2011 Pretest Asthma Supplement (line 9)
none
2011 Pretest Asthma Supplement
2011 Pretest NAMCS Patient Record Form (line 10)
none
2011 Pretest NAMCS Patient Record
2011 Pretest Physician Induction Interview (line 8)
none
2011 Pretest Physician Induction Interview
2012 Asthma Supplement (line 5)
none
2012 Asthma Supplement
NAMCS EMR/EHR Mail Survey (Line 6)
none
NAMCS - EMR Supplement 2011
NAMCS-1 Physician Induction Interview (Line 1)
none
National Ambulatory Medical Care Survey 2011 Parnel - NAMCS 1
NAMCS-201 Community Health Center Induction Interview (Line 2)
none
Community Health Center Induction Interview 2011
NAMCS-30 Patient Record form (Line 3)
none
NAMCS 2011 Patient Record Folio
NAMCS-CCS Cervical Cancer Screening Supplement (Line 5)
5
NAMCS-CCS Cervical Cancer Screening Supplement (Line 5)
Physician Workflow Survey (line 7)
none, none
Physician Workflow Survey - EHR/no EHR Supplement 2
,
Physician Workflow Survey - EHR/no EHR Supplement 2
Pulling and re-filing Patient Record form (Line 4)
none
Pulling and Refiling of Patient Record
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
71,827
51,469
0
20,358
0
0
Annual Time Burden (Hours)
11,502
7,372
0
4,130
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 burden hours are higher in this revision due to more planned activities for the 2011-2013 survey period. One IC was removed for this survey period.
Annual Cost to Federal Government:
$5,385,970
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]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
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:
Carol Walker 4046394773
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:
02/25/2011
An official website of the United States government
The .gov means it's official.
The site is secure.
