Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices 39755 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. In addition, the PRA also 

requires Federal agencies to provide a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each new 

proposed collection, each proposed 

extension of existing collection of 

information, and each reinstatement of 

previously approved information 

collection before submitting the 

collection to the OMB for approval. To 

comply with this requirement, we are 

publishing this notice of a proposed 

data collection as described below. 

The OMB is particularly interested in 

comments that will help: 

1. Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

2. Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

5. Assess information collection costs. 

Proposed Project 

FoodNet Population Survey— 

Extension ICR—National Center for 

Emerging and Zoonotic Infectious 

Diseases (NCEZID), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

Foodborne illnesses represent a 

significant public health burden in the 

United States. It is estimated that each 

year, 48 million Americans (1 in 6) 

become ill, 128,000 are hospitalized, 

and 3,000 die as the result of a 

foodborne illness. Since 1996, the 

Foodborne Diseases Active Surveillance 

Network (FoodNet) has conducted 

active population-based surveillance for 

Campylobacter, Cryptosporidium, 

Cyclospora, Listeria, Salmonella, Shiga 

toxin-producing Escherichia coli O157 

and non-O157, Shigella, Vibrio, and 

Yersinia infections. Data from FoodNet 

serves as the nation’s ‘‘report card’’ on 

food safety by monitoring progress 

toward CDC Healthy People 2020 

objectives. 

Since the previous OMB approval, 

pilot testing has been completed and 

data collection began in all states. As of 

July 10, 2018 a total of 11,657 surveys 

have been completed between all survey 

modes including landline, cell phone, 

web, and mail. CDC is seeking two years 

of OMB clearance for an extension of 

control number 0920–1112. 

Evaluation of efforts to control 

foodborne illnesses can only be done 

effectively if there is an accurate 

estimate of the total number of illnesses 

that occur, and if these estimates are 

recalculated and monitored over time. 

Estimates of the total burden start with 

accurate and reliable estimates of the 

number of acute gastrointestinal illness 

episodes that occur in the general 

community. To more precisely estimate 

this and to describe the frequency of 

important exposures associated with 

illness, FoodNet created the Population 

Survey. 

The FoodNet Population Survey is a 

survey of persons residing in the 

surveillance area. Data are collected on 

the prevalence and severity of acute 

gastrointestinal illness in the general 

population, describe common 

symptoms associated with diarrhea, and 

determine the proportion of persons 

with diarrhea who seek medical care. 

The survey also collects data on 

exposures (e.g. food, water, animal 

contact) commonly associated with 

foodborne illness. Information about 

food exposures in the general public has 

proved invaluable during outbreak 

investigations. The ability to compare 

exposures reported by outbreak cases to 

the ‘background’ exposure in the general 

population allows investigators to more 

quickly pinpoint a source and enact 

control measures. 

CDC seeks approval for an OMB 

extension to continue this important 

work. The total estimated Burden Hours 

for this collection is 6,067 annually. 

There is no cost to the respondents 

other than 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) 

U.S. General Population ................... Population Survey ............................ 18,200 1 20/60 6,067 

Total ........................................... ........................................................... ........................ ........................ ........................ 6,067 

Jeffrey M. Zirger, 

Acting Chief, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of the Associate Director for Science, Office 

of the Director, Centers for Disease Control 

and Prevention. 

[FR Doc. 2018–17176 Filed 8–9–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–18–0234; Docket No. CDC–2018– 

0073] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC), as part of 

its continuing effort to reduce public 

burden and maximize the utility of 

government information, invites the 

general public and other Federal 

agencies the opportunity to comment on 

a proposed and/or continuing 

information collection, as required by 

the Paperwork Reduction Act of 1995. 

This notice invites comment on a 

proposed information collection project 

titled the National Ambulatory Medical 


daltland on DSKBBV9HB2PROD with NOTICES
39756 Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices 

Care Survey (NAMCS). The goal of the 

project is to assess the health of the 

population through patient use of 

physician offices, community health 

centers (CHCs), and to monitor the 

characteristics of physician practices]. 

DATES: CDC must receive written 

comments on or before October 9, 2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0073 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Jeffrey M. Zirger, Information 

Collection Review Office, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, MS–D74, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. CDC will post, without 

change, all relevant comments to 

Regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(regulations.gov) or by U.S. mail to the 

address listed above. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, contact Jeffrey M. Zirger, 

Information Collection Review Office, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, MS– 

D74, Atlanta, Georgia 30329; phone: 

404–639–7570; Email: omb@cdc.gov. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. In addition, the PRA also 

requires Federal agencies to provide a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each new 

proposed collection, each proposed 

extension of existing collection of 

information, and each reinstatement of 

previously approved information 

collection before submitting the 

collection to the OMB for approval. To 

comply with this requirement, we are 

publishing this notice of a proposed 

data collection as described below. 

The OMB is particularly interested in 

comments that will help: 

1. Evaluate whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information will have 

practical utility; 

2. Evaluate the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information, 

including the validity of the 

methodology and assumptions used; 

3. Enhance the quality, utility, and 

clarity of the information to be 

collected; and 

4. Minimize the burden of the 

collection of information on those who 

are to respond, including through the 

use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submissions 

of responses. 

5. Assess information collection costs. 

Proposed Project 

National Ambulatory Medical Care 

Survey (NAMCS) (OMB Control No. 

0920–0234, Exp. Date 03/31/2019)— 

Revision- National Center for Health 

Statistics (NCHS), Centers for Disease 

Control and Prevention (CDC). 

Background and Brief Description 

The National Ambulatory Medical 

Care Survey (NAMCS) was conducted 

intermittently from 1973 through 1985, 

and annually since 1989. The survey is 

conducted under authority of Section 

306 of the Public Health Service Act (42 

U.S.C. 242k). 

NAMCS is part of the ambulatory care 

component of the National Health Care 

Surveys (NHCS), a family of providerbased surveys that capture health care 

utilization from a variety of settings, 

including hospital inpatient and longterm care facilities. NCHS surveys of 

health care providers include NAMCS, 

the National Hospital Ambulatory 

Medical Care Survey (NHAMCS) (OMB 

No. 0920–0278, Exp. Date 06/30/2021), 

the National Hospital Care Survey (OMB 

No. 0920–0212, Exp. Date 01/31/2019), 

and National Study of Long-term Care 

Providers (OMB No. 0920–0943, Exp. 

Date 12/31/2019). 

An overarching 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; this fulfills 

one of NCHS missions, to monitor the 

nation’s health. In addition, NAMCS 

provides ambulatory medical care data 

to study: (1) The performance of the 

U.S. health care system, (2) care for the 

rapidly aging population, (3) changes in 

services such as health insurance 

coverage change, (4) the introduction of 

new medical technologies, and (5) the 

use of EHRs. Ongoing societal changes 

have led to considerable diversification 

in the organization, financing, and 

technological delivery of ambulatory 

medical care. This diversification is 

evidenced by the proliferation of 

insurance and benefit alternatives for 

individuals, the development of new 

forms of physician group practices and 

practice arrangements (such as officebased practices owned by hospitals), 

and growth in the number of alternative 

sites of care. 

Ambulatory services are rendered in a 

wide variety of settings, including 

physician offices and hospital 

outpatient and emergency departments. 

Since more than 80% of all direct 

ambulatory medical care visits occur in 

physician offices, NAMCS provides data 

on the majority of ambulatory medical 

care services. 

In addition to health care provided in 

physician offices and outpatient and 

emergency departments, community 

health centers (CHCs) play an important 

role in the health care community by 

providing care to people who might not 

be able to afford it otherwise. CHCs are 

local, non-profit, community-owned 

health care settings, which serve 

approximately 23 million individuals 

throughout the United States. Prior to 

2006, visits made to CHCs, although 

captured in NAMCS, were not 

purposely included in the sampling 

plan; at that time, CHCs did not 

represent a separate NAMCS stratum. In 

an attempt to obtain a more accurate 

picture of health care provided in the 

United States, a sample of 104 CHCs 

was included in the 2006 NAMCS 

panel. There has been annual data 

collection from CHCs since that time, 

and these settings will continue to be 

sampled in 2019–2021. The total 

estimated annual number of Burden 

Hours are 4,953. There is no cost to 

respondents other than their time. 


daltland on DSKBBV9HB2PROD with NOTICES
Federal Register / Vol. 83, No. 155 / Friday, August 10, 2018 / Notices 39757 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Avg. burden 

per response 

(in hrs.) 

Total burden 

(in hrs.) 

Traditional Office-based Physicians 

or Staff.

2018 Physician Induction Interview 

(NAMCS–1).

122 1 30/60 61 

Traditional Office-based Physicians 

or Staff.

2019+ Physician Induction Interview 

(NAMCS–1).

1,097 1 30/60 549 

Traditional Office-based Physicians 

or Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts).

99 30 1/60 50 

Traditional Office-based Physicians 

or Staff.

2019+ Pulling, re-filing medical 

record forms (FR abstracts).

893 30 1/60 447 

MU Office-based Physician Staff ...... 2019+ MU Physician Induction 

Interview (NAMCS–PFI).

2,000 1 45/60 1,500 

MU Office-based Physician Staff ...... 2019+ Pulling, re-filing medical 

record forms (MU Onboarding).

2,000 1 60/60 2,000 

Community Health Center Executive/ 

Medical Directors.

2018 Induction Interview—service 

delivery site (NAMCS–201).

12 1 30/60 6 

Community Health Center Executive/ 

Medical Directors.

2019+ Induction Interview—service 

delivery site (NAMCS–201).

104 1 30/60 52 

Community Health Center Providers 2018 Induction Interview—Providers 

(NAMCS–1).

27 1 30/60 14 

Community Health Center Providers 2019+ Induction Interview—Providers (NAMCS–1).234 1 30/60 117 

Community Health Center Provider 

Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts).

27 30 1/60 14 

Community Health Center Provider 

Staff.

2019+ Pulling, re-filing medical 

record forms (FR abstracts).

234 30 1/60 117 

Traditional Physician Office-based 

and Community Health Center 

Staff.

2018 Pulling, re-filing medical 

record forms (FR abstracts) for 

the Reabstraction Study.

3 10 1/60 1 

Traditional Physician Office-based 

and Community Health Center 

Staff.

2019+ Reinterview Study ................ 100 1 15/60 25 

Total ........................................... .......................................................... ........................ ........................ ........................ 4,953 

Jeffrey M. Zirger, 

Acting Chief, Information Collection Review 

Office, Office of Scientific Integrity, Office 

of the Associate Director for Science, Office 

of the Director, Centers for Disease Control 

and Prevention. 

[FR Doc. 2018–17175 Filed 8–9–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[60Day–18–18APX; Docket No. CDC–2018– 

0066] 

Proposed Data Collection Submitted 

for Public Comment and 

Recommendations 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC), as part of 

its continuing effort to reduce public 

burden and maximize the utility of 

government information, invites the 

general public and other Federal 

agencies the opportunity to comment on 

a proposed and/or continuing 

information collection, as required by 

the Paperwork Reduction Act of 1995. 

This notice invites comment on a 

proposed information collection project 

titled ‘‘Dental Survey: Improving 

outpatient antibiotic use through 

implementation and evaluation of Core 

Elements of Outpatient Antibiotic 

Stewardship.’’ This information 

collection request will generate data to 

assess knowledge, attitudes, practices 

and perceived barriers to appropriate 

antibiotic prescribing in a representative 

sample of dental providers. Results will 

be used to inform interventions for this 

specific provider population and 

support our efforts to improve 

antimicrobial stewardship within 

outpatient clinics. 

DATES: CDC must receive written 

comments on or before October 9, 2018. 

ADDRESSES: You may submit comments, 

identified by Docket No. CDC–2018– 

0066 by any of the following methods: 

• Federal eRulemaking Portal: 

Regulations.gov. Follow the instructions 

for submitting comments. 

• Mail: Jeffrey M. Zirger, Information 

Collection Review Office, Centers for 

Disease Control and Prevention, 1600 

Clifton Road NE, MS–D74, Atlanta, 

Georgia 30329. 

Instructions: All submissions received 

must include the agency name and 

Docket Number. CDC will post, without 

change, all relevant comments to 

Regulations.gov. 

Please note: Submit all comments 

through the Federal eRulemaking portal 

(regulations.gov) or by U.S. mail to the 

address listed above. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the information collection plan and 

instruments, contact Jeffrey M. Zirger, 

Information Collection Review Office, 

Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, MS– 

D74, Atlanta, Georgia 30329; phone: 

404–639–7570; Email: omb@cdc.gov. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. In addition, the PRA also 


daltland on DSKBBV9HB2PROD with NOTICES