NCHS National Ambulatory Medical Care Survey, 2007-2008

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NAMCS 83c EHR3.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2007-08-22	Available
0920-0234 NAMCS_sup_st_Final_7-11-2006_clean[1].doc	Supporting Statement A	Uploaded 2007-09-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43612	Office-Based Physicians Eligible/Physician Induction Interview	Instruction	Modified
181893	Office-Based Physicians ineligible/Physician Induction Interview	Instruction	New
181892	Office-Based Physicians eligible/Cervical Cancer Screening Supplement	Instruction	New
181891	Office-Based Physicians eligible/Pulling and Re-filing Patient Record Form	Instruction	New
181890	Office-based Physicians eligible/Patient Record Form	Instruction	New
181889	Office-based physicians eligible/Physician Induction Interview	Instruction	New

ICR Details

OMB Control No: 0920-0234	ICR Reference No: 200709-0920-002
Status: Historical Active	Previous ICR Reference No: 200607-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: NCHS National Ambulatory Medical Care Survey, 2007-2008
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/11/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/05/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	08/31/2009	08/31/2009
Responses	75,886	0	94,210
Time Burden (Hours)	7,207	0	8,645
Cost Burden (Dollars)	0	0	0

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Abstract: Data collected from office-based physicians, and community health center providers, concerning patient visits are aggregated to national statistics. The data are used by the public and private sectors for public health planning, medical education, health manpower assessment, epidemiologic studies, and other medical care utilization and health policy research.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Office-Based Physicians Eligible/Physician Induction Interview
Office-Based Physicians eligible/Cervical Cancer Screening Supplement
Office-Based Physicians eligible/Pulling and Re-filing Patient Record Form
Office-Based Physicians ineligible/Physician Induction Interview
Office-based Physicians eligible/Patient Record Form
Office-based physicians eligible/Physician Induction Interview

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	75,886	94,210	0	-18,324	0	0
Annual Time Burden (Hours)	7,207	8,645	0	-1,438	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In 2008 additional physicians will be sampled and surveyed on use of electronic records. There will be no additional questions added to the previously approved instrument. The burden hours will not be increased, as 200 oncologist will be removed from the full NAMCS, as they are considered outside of the scope of the study. In order to begin this process the program is submitting the request as a change and will work to incorporate this information as well as any additional changes in the revision package that will be submitted by the end of this year for extension.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/05/2007

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