View Information Collection Request (ICR) Package
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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:
201902-0920-021
Status:
Historical Active
Previous ICR Reference No:
201702-0920-007
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0234
Title:
National Ambulatory Medical Care Survey (NAMCS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/23/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/20/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2022
36 Months From Approved
05/31/2019
Responses
46,013
0
41,273
Time Burden (Hours)
5,038
0
4,643
Cost Burden (Dollars)
179,568
0
0
Abstract:
The goal of NAMCS is to assess the health of the US population through patient use of physician offices and community health centers and to monitor the characteristics of physician practices. This request is to continue survey activities for 2019, 2020, & 2021; revisions include discontinue prevention & treatment of sexually transmitted infections (STIs) & HIV (STD/PrEP) prevention questions, culturally & linguistically appropriate service questions, & alcohol & substance abuse screening & brief intervention questions; modify questions for clarification and to keep with current medical practice & terminology; update how race/ethnicity are asked on NAMCS induction forms; follow the DHHS guidance on data collection standards for race/ethnicity for self-identification; increase the sample size for survey years 2020 & 2021;discontinue reabstraction of patient visits; conduct reinterview study for 2019-2021.
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:
83 FR 39755
08/10/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 10089
03/19/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
2018 Physician Induction Inverview (NAMCS-1)
none
2018Traditional Physician Induction Sample Card
2019 Traditional Provider Induction Interview (NAMCS-1)
none, none
2019 NAMCS-1 Questions for Traditional Physicians
,
Sample 2019 Patient Record
Induction Interview - Community Health Center Providers
none, none
2018 CHC Provider Induction Sample Card
,
2019 CDC Provider Questions
Induction Interview - Service Delivery Site (NAMCS-201)
none, none, none
2018 CHC Provider Induction Sample Card
,
2019 CHC Provider Induction Interview
,
CDC Service Delivery Induction Interview Sample Card
MU Physician Induction Interview
none
NAMCS-PFI Questions for MU Physicians
MU Physician Pulling and Refiling EHR
Patient Record Form (NAMCS-1)
0920-0234
Att D2 2016 NAMCS PRF
Physician Abstracts -Patient Record Form (NAMCS-30)
0920-0234
Att D2 2016 NAMCS PRF 122115
Pulling and Refiling Medical Record Forms - CHC Provider and Staff
Pulling and Refiling Medical Record Forms - Tradtional Providers
Reabstraction Study - Traditional and CHC Providers
Reinterview Study - Traditional Physician and CHC Staff
none
Reinterview Study Questionnaire
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
46,013
41,273
0
4,740
0
0
Annual Time Burden (Hours)
5,038
4,643
0
395
0
0
Annual Cost Burden (Dollars)
179,568
0
0
179,568
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:
This revision includes an increase in the sample size for survey years 2020 & 2021 and the;discontinuation of reabstraction of patient visits as well as the; conduct of a reinterview study for 2019-2021.
Annual Cost to Federal Government:
$9,313,341
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
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)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Shari Steinberg 404 639-4942 sxw2@cdc.gov
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:
03/20/2019
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