Federal Register / Vol. 74, No. 23 / Thursday, February 5, 2009 / Notices 6163 

Dated: January 29, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E9–2443 Filed 2–4–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–0278) 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call the CDC Reports 

Clearance Officer at 404–639–5960 or 

send comments to CDC/ATSDR 

Assistant Reports Clearance Officer, 

1600 Clifton Road, MS–D74, Atlanta, 

GA 30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

National Hospital Ambulatory 

Medical Care Survey (NHAMCS) (OMB 

No. 0920–0278)—Revision—National 

Center for Health Statistics (NCHS), 

Centers for Disease Control and 

Prevention (CDC). 

Background and Brief Description 

Section 306 of the Public Health 

Service (PHS) Act (42 U.S.C. 242k), as 

amended, authorizes that the Secretary 

of Health and Human Services (DHHS), 

acting through NCHS, shall collect 

statistics on ‘‘utilization of health care’’ 

in the United States. The National 

Hospital Ambulatory Medical Care 

Survey (NHAMCS) has been conducted 

annually since 1992. NCHS is seeking 

OMB approval to extend this survey for 

an additional three years. 

The purpose of NHAMCS is to meet 

the needs and demands for statistical 

information about the provision of 

ambulatory medical care services in the 

United States. Ambulatory services are 

rendered in a wide variety of settings, 

including physicians’ offices and 

hospital outpatient and emergency 

departments. The target universe of the 

NHAMCS is in-person visits made to 

outpatient departments (OPDs) and 

emergency departments (EDs) of nonFederal, short-stay hospitals (hospitals 

with an average length of stay of less 

than 30 days) or those whose specialty 

is general (medical or surgical) or 

children’s general. 

NHAMCS was initiated to 

complement the National Ambulatory 

Medical Care Survey (NAMCS, OMB 

No. 0920–0234), which provides similar 

data concerning patient visits to 

physicians’ offices. NAMCS and 

NHAMCS are the principal sources of 

data on ambulatory care provided in the 

United States. 

NHAMCS provides a range of baseline 

data on the characteristics of the users 

and providers of hospital ambulatory 

medical care. Data collected include 

patients’ demographic characteristics, 

reason(s) for visit, providers’ diagnoses, 

diagnostic services, medications, and 

disposition. These data, together with 

trend data, may be used to monitor the 

effects of change in the health care 

system, for the planning of health 

services, improving medical education, 

determining health care work force 

needs, and assessing the health status of 

the population. In addition, information 

on cervical cancer screening practices 

from hospital OPD clinics will continue 

to be collected through the Cervical 

Cancer Screening Supplement (CCSS), 

which was added in 2006. This 

supplement will allow the CDC/ 

National Coordinating Center for Health 

Promotion (NCCHP) to evaluate cervical 

cancer screening methods and the use of 

human papillomavirus DNA tests. 

In 2009, hospital-based ambulatory 

surgery centers (ASCs) were added to 

the NHAMCS sample in order to capture 

patient visits to hospital-based ASCs. In 

an effort to expand understanding of 

patient visits to all ASCs, NCHS 

proposes to add free-standing ASCs to 

the NHAMCS data gathering procedures 

in 2010. This will allow a 

comprehensive understanding of patient 

care in ASCs by gathering data on all 

outpatient surgeries not captured in 

other NCHS surveys. NHAMCS ASC 

data that will be collected from freestanding ASCs include patient 

characteristics, diagnoses, surgical and 

nonsurgical procedures, provider and 

type of anesthesia, time in and out of 

surgery and postoperative care, and 

discharge disposition. The data 

collected will also be compared to ASC 

data from the 2006 National Survey of 

Ambulatory Surgery (OMB No. 0920– 

0334). 

Users of NHAMCS data include, but 

are not limited to, congressional offices, 

Federal agencies, state and local 

governments, schools of public health, 

colleges and universities, private 

industry, nonprofit foundations, 

professional associations, clinicians, 

researchers, administrators, and health 

planners. 

There are no costs to the respondents 

other than their time. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs) 

Total burden 

hours 

Hospitals: 

Induction Interview .................................................................................... 470 1 55/60 431 

ED induction ............................................................................................. 400 1 1 400 

OPD induction .......................................................................................... 250 4 1 1,000 

ASC induction ........................................................................................... 200 1 1 200 

ED Patient Record Form .......................................................................... 400 100 7/60 4,667 

OPD Patient Record Form ....................................................................... 250 200 6/60 5,000 

ASC Patient Record Form ........................................................................ 200 100 6/60 2,000 


rwilkins on PROD1PC63 with NOTICES
6164 Federal Register / Vol. 74, No. 23 / Thursday, February 5, 2009 / Notices 

ESTIMATED ANNUALIZED BURDEN TABLE—Continued 

Type of respondent Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hrs) 

Total burden 

hours 

CCSS ........................................................................................................ 250 1 15/60 63 

Free-standing ASCs: 

Induction Interview .................................................................................... 200 1 55/60 183 

Patient Record Form ................................................................................ 200 100 6/60 2,000 

Total .......................................................................................................... ........................ ........................ ........................ 15,944 

Dated: January 29, 2009. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Office of 

the Chief Science Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. E9–2444 Filed 2–4–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–09–09AN] 

Proposed Data Collections Submitted 

for Public Comment and 

Recommendations 

In compliance with the requirement 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995 for 

opportunity for public comment on 

proposed data collection projects, the 

Centers for Disease Control and 

Prevention (CDC) will publish periodic 

summaries of proposed projects. To 

request more information on the 

proposed projects or to obtain a copy of 

the data collection plans and 

instruments, call 404–639–5960, send 

comments to Maryam I. Daneshvar, CDC 

Acting Reports Clearance Officer, 1600 

Clifton Road, MS–D74, Atlanta, GA 

30333 or send an e-mail to 

omb@cdc.gov. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Written comments should 

be received within 60 days of this 

notice. 

Proposed Project 

National Youth Physical Activity and 

Nutrition Study (NYPANS)—New— 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

The prevalence of obesity among 

adolescents aged 12 to 19 more than 

tripled in the past 20 years, increasing 

from 5% in 1980 to 17.6% in 2006. 

Almost two-thirds of obese young 

people have at least one additional risk 

factor for heart disease, such as high 

cholesterol or high blood pressure. 

Obese young people are more likely 

than children of normal weight to 

become overweight or obese adults, and 

are therefore more at risk for associated 

adult health problems, including heart 

disease, type 2 diabetes, stroke, several 

types of cancer, and osteoarthritis. 

However, healthy lifestyle habits, 

including healthy eating and physical 

activity, can lower the risk of becoming 

obese and developing related diseases. 

To help develop effective 

interventions to stem the increase of 

obesity among adolescents, it is 

essential to better understand the 

behavior and behavioral determinants of 

healthy eating and physical activity for 

youth in the U.S. Toward this end, CDC 

proposes to conduct a study involving a 

nationally representative sample of 

students attending public and private 

schools in grades 9–12. CDC plans to 

collect information from students in 

Spring 2010. The primary information 

collection will include a paper-andpencil survey, a standardized protocol 

to measure height and weight, and 

telephone interviews to elicit 24-hour 

dietary recalls among a subsample of 

respondents. Information supporting the 

study also will be collected from school 

administrators and teachers. 

This study has multiple purposes: (1) 

To provide nationally representative 

data on behaviors and behavioral 

determinants related to physical activity 

and nutrition, including data to measure 

at least two national health objectives in 

Healthy People 2010, an initiative of the 

U.S. Department of Health and Human 

Services (HHS); (2) to provide data to 

help improve the clarity and strengthen 

the validity of questions on the Youth 

Risk Behavior Survey (OMB No. 0920– 

0493, exp. 11/30/2011), which has been 

conducted biennially since 1991; and 

(3) to understand the associations 

among behaviors and behavioral 

determinants related to physical activity 

and nutrition, and their association with 

body mass index. Study results will 

have significant implications for policy 

and program development for obesity 

prevention programs nationwide. 

There are no costs to respondents 

except their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

State Education Agency Contacts .... Recruitment Guidelines Script ......... 17 1 30/60 9 

School District Contacts .................... Recruitment Guidelines Script ......... 80 1 30/60 40 

School Contacts ................................ Recruitment Guidelines Script ......... 133 1 30/60 67 


rwilkins on PROD1PC63 with NOTICES