Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 22935 

ANNUAL BURDEN ESTIMATES 

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Grant Application Data Summary (GADS) ...................................................... 500 1 0.50 250 

Estimated Total Annual Burden 

Hours: 250 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. E-mail address: 

infocollection@acf.hhs.gov. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments 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) 

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. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Dated: May 12, 2009. 

Janean Chambers, 

Reports Clearance Officer. 

[FR Doc. E9–11364 Filed 5–14–09; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[30Day–09–0234) 

Agency Forms Undergoing Paperwork 

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 

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

the Paperwork Reduction Act of 1995. 

To request a copy of these requirements, 

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. Written 

comments should be received within 30 

days of this notice. 

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. 

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 electronic medical 

records (EMRs) 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. 

In 2009, in addition to conducting the 

on-going survey, NAMCS will include 

an additional sample of 70 physicians to 

pretest additional questionnaire items 

on laboratory values. These new items 

were requested by the Division of Heart 

Disease and Stroke Prevention within 

NCCDPHP to better understand the 

extent to which ambulatory health care 

providers identify and control abnormal 

values before and after cardiovascular 

disease. 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 

22936 Federal Register / Vol. 74, No. 93 / Friday, May 15, 2009 / Notices 

estimated annualized burden hours are 

5,932. 

ESTIMATED ANNUALIZED BURDEN TABLE

Type of form Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Hours per 

response 

Core NAMCS Forms ............. 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 ......... 1,143 1 20/60 

Lab Values Pre-test Forms ... Office-based physicians ....... Physician Induction Interview 

(NAMCS–1).

23 1 28/60 

Office-based physicians/staff Patient Record form 

(NAMCS–30).

8 30 9/60 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Office of 

the Chief Science Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. E9–11379 Filed 5–14–09; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

In compliance with Section 

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

Reduction Act of 1995 concerning 

opportunity for public comment on 

proposed collections of information, the 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) 

will publish periodic summaries of 

proposed projects. To request more 

information on the proposed projects or 

to obtain a copy of the information 

collection plans, call the SAMHSA 

Reports Clearance Officer at (240) 276– 

1243. 

Comments are invited on: (a) Whether 

the proposed collections of information 

are 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. 

Proposed Project: Recovery Services for 

Adolescents and Families—New 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA) Center for Substance Abuse 

Treatment will conduct a data collection 

on the helpfulness of recovery support 

services for young people and their 

families after leaving substance abuse 

treatment. Specifically, the Recovery 

Services for Adolescents and Families 

(RSAF) project is trying to understand 

whether or not young people and their 

families find the following recovery 

support services helpful: (1) Telephone/ 

text message support; (2) a recoveryoriented social networking site; and (3) 

a family program. Approximately 200 

adolescent respondents will be asked to 

complete 4 data collection forms (some 

repeated) during 5 interviews (baseline 

and 4 follow-ups) over a 12 month 

period after enrollment or discharge 

from treatment. Approximately 200 

collateral respondents (i.e., a parent/ 

guardian/concerned other) will be asked 

to complete 7 data collection forms 

(some repeated) during 5 interviews 

(baseline and 4 follow-ups) over a 12 

month period after their adolescent’s 

enrollment or discharge from treatment. 

Approximately 15 to 20 project staff 

respondents, including Project 

Coordinators, Telephone Support 

Volunteers, a Social Network Site 

Moderator, Family Program Clinicians, 

and a Support Services Supervisor, will 

be asked to complete between 2 and 5 

data collection forms at varying 

intervals during the delivery of recovery 

support services. Across all 

respondents, a total of 26 data collection 

forms will be used. Depending on the 

time interval and task, information 

collections will take anywhere from 

about 5 minutes to 2 hours to complete. 

A description of each data collection 

form follows: 

Follow-Up Locator Form—Participant 

(FLF–P; Adolescent Respondent). The 

FLF–P contains over 50 items that are a 

combination of yes/no, multiple choice, 

and open-ended formats. Data are 

gathered about an adolescent’s contact 

information, personal contacts, criminal 

justice contacts, school/job contacts, 

hang-out information, internet contacts, 

and identifying information in order to 

locate and interview that adolescent 

over multiple follow-up intervals. 

Global Appraisal of Individual 

Needs—Initial (GAIN–I 5.6.0 Full; 

Adolescent Respondent). The GAIN is 

an evidence-based assessment used with 

both adolescents and adults and in 

outpatient, intensive outpatient, partial 

hospitalization, methadone, short-term 

residential, long-term residential, 

therapeutic community, and 

correctional programs. There are over 

1,000 questions in this initial version 

that are in multiple formats, including 

multiple choice, yes/no, and openended. Eight content areas are covered: 

Background, Substance Use, Physical 

Health, Risk Behaviors and Disease 

Prevention, Mental and Emotional 

Health, Environment and Living 

Situation, Legal, and Vocational. Each 

section contains questions on the 

recency of problems, breadth of