Federal Register / Vol. 75, No. 19 / Friday, January 29, 2010 / Notices 4825 

Proposed Project 

National Ambulatory Medical Care 

Survey (NAMCS) (OMB No. 0920–0234) 

— 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. NAMCS was 

conducted annually from 1973 to 1981, 

again in 1985, and resumed as an 

annual survey in 1989. The purpose of 

NAMCS is to meet the needs and 

demands for statistical information 

about the provision of ambulatory 

medical care services in the United 

States. NCHS is seeking OMB approval 

to extend this survey for three years. 

The major reason for this revision 

request is to add the collection of state 

level data on physician use of electronic 

medical records (EMRs), described in 

more detail below. 

Ambulatory services are rendered in a 

wide variety of settings, including 

physician offices and hospital 

outpatient and emergency departments. 

The NAMCS target universe consists of 

all office visits made by ambulatory 

patients to non-Federal office-based 

physicians (excluding those in the 

specialties of anesthesiology, radiology, 

and pathology) who are engaged in 

direct patient care. 

In 2006, physicians and mid-level 

providers (i.e., nurse practitioners, 

physician assistants, and nurse 

midwives) practicing in community 

health centers (CHCs) were added to the 

NAMCS sample, and these data will 

continue to be collected. To 

complement NAMCS data, NCHS 

initiated the National Hospital 

Ambulatory Medical Care Survey 

(NHAMCS, OMB No. 0920–0278) in 

1992 to provide data concerning patient 

visits to hospital outpatient and 

emergency departments. NAMCS and 

NHAMCS are the principal sources of 

data on ambulatory care provided in the 

United States. 

NAMCS provides a range of baseline 

data on the characteristics of the users 

and providers of ambulatory medical 

care. Data collected include the patients’ 

demographic characteristics, reason(s) 

for visit, provider diagnoses, diagnostic 

services, medications, and visit 

disposition. In addition, information on 

cervical cancer screening practices in 

physician offices will continue to be 

collected through the Cervical Cancer 

Screening Supplement (CCSS), which 

was added in 2006. It will allow CDC’s 

National Center for Chronic Disease 

Prevention and Health Promotion 

(NCCDPHP) to evaluate cervical cancer 

screening methods and the use of 

Human Papillomavirus DNA tests. 

A supplemental mail survey on the 

adoption and use of EMR in physician 

offices was added to NAMCS in 2008, 

and will continue. These data were 

requested by the Office of the National 

Coordinator for Health Information 

Technology (ONC), Department of 

Health and Human Services, to measure 

progress toward goals for EMR adoption. 

The mail survey will collect information 

on characteristics of physician practices 

and the capabilities of EMRs used in 

those practices. Starting in 2010, the 

EMR mail survey will have a five-fold 

increase from the 2009 sample to collect 

state-level data. 

Users of NAMCS 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 is no cost to respondents other 

than their time to participate. The total 

estimated annualized burden hours are 

7,372. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of respondent Form name Number of respondents 

Number of responses per 

respondent 

Hours per response 

Core NAMCS 

Office-based physicians/CHC providers .. Physician Induction Interview (NAMCS–1) .... 3,657 1 28/60 

Community Health Center Directors ........ Community Health Center Induction Interview (NAMCS–201).104 1 20/60 

Office-based physicians/CHC providers/ 

staff.

Patient Record form (NAMCS–30) ................ 738 30 9/60 

Office/CHC staff ....................................... Pulling, re-filing Patient Record form 

(NAMCS–30).

650 30 1/60 

Office-based physicians/CHC providers/ 

staff.

Cervical Cancer Screening Supplement 

(NAMCS–CCS).

464 1 15/60 

Office-based physicians ........................... EMR/EHR Mail Survey ................................... 5,604 1 20/60 

Dated: January 25, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–1937 Filed 1–28–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10184] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

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

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 


jlentini on DSKJ8SOYB1PROD with NOTICES
4826 Federal Register / Vol. 75, No. 19 / Friday, January 29, 2010 / Notices 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Eligibility Error 

Rate Measurement in Medicaid and the 

Children’s Health Insurance Program; 

Use: The collection of information is 

necessary for CMS to produce national 

error rates for Medicaid and CHIP as 

required by Public Law 107–300, the 

IPIA of 2002. The collection of 

information is also necessary to 

implement provisions from the 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA) 

(Pub. L. 111–3) with regard to the 

Medicaid Eligibility Quality Control 

(MEQC) and Payment Error Rate 

Measurement (PERM) programs. The 

information collected from the States 

selected for review will be used by CMS 

to ensure States use a statistically sound 

sampling methodology, to ensure the 

States complete reviews on all cases 

sampled, and will be used by the 

Federal contractor to calculate State and 

national Medicaid and CHIP eligibility 

error rates. Form Number: CMS–10184 

(OMB#: 0938–1012); Frequency: 

Reporting—Occasionally; Affected 

Public: State, Local, Tribal 

Governments; Number of Respondents: 

34; Total Annual Responses: 53; Total 

Annual Hours: 942,764. (For policy 

questions regarding this collection 

contact Jessica Woodard at 410–786– 

9249. For all other issues call 410–786– 

1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on March 1, 2010. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer. Fax 

Number: (202) 395–6974. E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: January 22, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–1918 Filed 1–28–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2746] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

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

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: End Stage Renal 

Disease Death Notification Public Law 

95–292; 42 CFR 405.2133, 45 CFR 5–5b; 

20 CFR Parts 401 and 422E Use: The 

ESRD Death Notification (CMS–2746) is 

completed by all Medicare-approved 

ESRD facilities upon the death of an 

ESRD patient. Its primary purpose is to 

collect fact of death and cause of death 

of ESRD patients. Certain other 

identifying information (e.g., name, 

Medicare claim number, and date of 

birth) is required for matching purposes. 

Federal regulations require that the 

ESRD Networks examine the mortality 

rates of every Medicare-approved 

facility within its area of responsibility. 

The Death Form provides the necessary 

data to assist the ESRD Networks in 

making decisions that result in 

improved patient care and in costeffective distribution of ESRD resources. 

The data is used by the ESRD Networks 

to verify facility deaths and to monitor 

facility performance. Form Number: 

CMS–2746 (OMB#: 0938–0448); 

Frequency: On occasion; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 5,173; Total Annual 

Responses: 82,768; Total Annual Hours: 

41,384. (For policy questions regarding 

this collection contact Connie Cole at 

410–786–0257. For all other issues call 

410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

at: http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

E-mail your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by March 30, 2010: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: January 22, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–1916 Filed 1–28–10; 8:45 am] 

BILLING CODE 4120–01–P 


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