Federal Register / Vol. 73, No. 149 / Friday, August 1, 2008 / Notices 45011 

in the pilot project. Interviews will be 

conducted by phone using open-ended 

questions to determine coalition 

strengths, weaknesses, and barriers to 

coalition building and strategic 

planning efforts. Each interview will 

take 30 minutes. The capacity building 

surveys will be conducted with all 

members of the pilot project coalitions. 

These surveys will determine changes 

in the capacity of partner organizations 

associated with pilot coalitions and are 

expected to take 30 minutes to 

complete. The implementation 

interviews and coalition capacity 

surveys will be conducted at the 

beginning of the pilot period as a 

baseline measure and again at the end 

of the 12-month pilot period. The 

baseline information will assist CDC in 

tailoring technical assistance that might 

be required by the pilot communities. 

The evaluation will then utilize these 

baseline measures along with the 

information collected during the pilot to 

assess the Web site’s success at 

supporting the development of 

community-wide youth violence 

prevention coalitions and subsequent 

strategic planning. 

The pre-post research design of the 

evaluation will aid CDC in assessing the 

changes in knowledge, attitudes, and 

resource capacity associated with the 

NYVPRC Web site and will inform 

revision of the Web site materials for a 

future nationwide launch. There is no 

cost to respondents for any of these 

surveys. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Online Training Survey .................................................................................... 400 1 15/60 100 

User Feedback Survey .................................................................................... 1000 1 5/60 83 

Partner Survey ................................................................................................. 120 2 30/60 120 

Coalition Capacity Survey ............................................................................... 50 2 30/60 50 

Total .......................................................................................................... ........................ ........................ ........................ 353 

Dated: July 24, 2008. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E8–17601 Filed 7–31–08; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–08–0278] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

National Hospital Ambulatory 

Medical Care Survey [OMB No. 0920–

0278]—Revision—National Center for 

Health Statistics (NCHS), Centers for 

Disease Control and Prevention (CDC). 

Background and Brief Description 

The National Hospital Ambulatory 

Medical Care Survey (NHAMCS) has 

been conducted annually since 1992. 

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 of the NHAMCS 

to date has been 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. 

This revision is to transfer data 

gathering from the previously 

conducted National Survey of 

Ambulatory Surgery (NSAS) (OMB No. 

0920–0334) to NHAMCS. After the 

1994–1996 NSAS, funds were not 

available to gather this important, and 

much sought after, data until 2006. Due 

to a lack of funds it has not been 

possible to conduct an independent 

NSAS since that time and so, for 2009, 

NCHS proposes to begin the expansion 

of NHAMCS data gathering to include 

hospital-based ambulatory surgery 

centers (ASCs). Beginning in 2010, 

NCHS plans to seek OMB approval to 

expand NHAMCS to also include freestanding ASCs. The objective of this 

new collection will be to collect data 

about ambulatory surgery centers, the 

patients they serve, and the services 

they deliver. It will remain the principal 

source of data on ambulatory surgery 

center services in the United States. It 

has been the benchmark against which 

special programmatic data sources are 

compared. NHAMCS ASC data that will 

be collected 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. 

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. The 

total estimated annualized burden hours 

are 9,186. 

mstockstill on PROD1PC66 with NOTICES

45012 Federal Register / Vol. 73, No. 149 / Friday, August 1, 2008 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Hospital Chief Medical Officer ........................ Hospital Induction (NHAMCS–101) ............... 470 1 55/60 

Ancillary Service Executive ............................. Ambulatory Unit Induction (NHAMCS–101/U) 845 2 1 

Physician/Registered Nurse/Medical Record 

Clerk.

ED Patient Record form NHAMCS–100 (ED)] 220 100 7/60 

Medical Record Clerk ..................................... Pulling and re-filing Patient Records ............. 393 132 1/60 

Physician/Registered Nurse/Medical Record 

Clerk.

OPD Patient Record form [NHAMCS–100 

(OPD)].

125 200 6/60 

Physician/Phys. Asst./Nurse Practitioner/ 

Nurse Midwife.

Cervical Cancer Screening Supplement 

(CCSS) (NHAMCS–906).

250 1 15/60 

Physician/Registered Nurse/Medical Record 

Clerk.

ASC Patient Record form NHAMCS–100 

(ASC).

107 100 6/60 

Dated: July 24, 2008. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. E8–17603 Filed 7–31–08; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–08–0212] 

Agency Forms Undergoing Paperwork 

Reduction Act Review 

The Centers for Disease Control and 

Prevention (CDC) publishes a list of 

information collection requests under 

review by the Office of Management and 

Budget (OMB) in compliance with the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). To request a copy of these 

requests, call the CDC Reports Clearance 

Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written 

comments to CDC Desk Officer, Office of 

Management and Budget, Washington, 

DC or by fax to (202) 395–6974. Written 

comments should be received within 30 

days of this notice. 

Proposed Project 

National Hospital Discharge Survey—

Revision—The National Hospital 

Discharge Survey (NHDS) (OMB# 0920–

0212), 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 the extent and nature of 

illness and disability of the population 

of the United States. This three-year 

clearance request includes the data 

collection in 2008 and 2009 using the 

current NHDS design; a pretest of a new 

design; and data collection for 2010 and 

2011 of the survey using the new 

design. 

Current NHDS 

The National Hospital Discharge 

Survey (NHDS) has been conducted 

continuously by the National Center for 

Health Statistics, CDC, since 1965. It is 

the principal source of data on inpatient 

utilization of short-stay, non-Federal 

hospitals and is the principal annual 

source of nationally representative 

estimates on the characteristics of 

discharges, the lengths of stay, 

diagnoses, surgical and non-surgical 

procedures, and the patterns of use of 

care in hospitals in various regions of 

the country. It is the benchmark against 

which special programmatic data 

sources are measured. The data items 

collected are the basic core of the 

variables contained in the Uniform 

Hospital Discharge Data Set (UHDDS) in 

addition to several variables (admission 

source and type, admitting diagnosis 

and present on admission indicators) 

which are identical to those needed for 

billing of inpatient services for Medicare 

patients. In the current survey, data are 

obtained in one of three ways: 

Abstracted by hospital staff; abstracted 

by Bureau of the Census Staff under an 

interagency agreement; and provided in 

electronic format. Due to budgetary 

constraints, the number of hospitals and 

the number of discharges for the 2008 

and 2009 NHDS data collections will 

decrease by approximately 50% from 

previous years. 

Redesigned NHDS 

Although the current NHDS is still 

fulfilling its intended functions, it is 

based on concepts from the health care 

delivery system, as well as the hospital 

and patient universes, of previous 

decades. It has become clear that a 

redesign of the NHDS that provides 

greater depth of information is 

necessary. 

In 2008, a sample of 30 hospitals will 

be selected for a pretest. These hospitals 

will not be a probability sample, but 

instead will be intentionally selected to 

include hospitals of differing size, 

location and other characteristics 

related to their service and patient 

clientele. 

In 2010, a redesigned NHDS will be 

implemented and will consist of a 

completely new sample of 

approximately 240 hospitals. The 

redesigned NHDS will use a modified 

two stage design. The first stage 

sampling will be hospitals. The second 

stage of sampling will be discharges. A 

stratified, random sample of 120 

discharges is targeted within each 

hospital. In the redesigned survey all 

data will be abstracted by trained health 

care staff under contract. All data will 

be obtained from hospital records and 

charts and computer systems. 

The current data items will be 

collected with significant additional 

details. Patient level data items to be 

collected include personal identifiers 

such as social security number (last 4 

digits), name and medical record 

number; clinical laboratory results such 

as hematocrit and white blood cell 

count; and financial billing and record 

data. The survey includes detailed 

questions for three modules: Acute 

myocardial infarction; infectious 

disease; and end of life issues. Facility 

level data items include demographic 

information, clinical capabilities, and 

financial information. 

Users of NHDS data include, but are 

not limited to the CDC; the 

Congressional Research Office; the 

Office of the Assistant Secretary for 

Planning and Evaluation (ASPE); 

American Health Care Association, 

Centers for Medicare and Medicaid 

mstockstill on PROD1PC66 with NOTICES