Att E - Federal register

Att E - Federal register.pdf

The National Ambulatory Medical Care Survey (NAMCS) National Electronic Health Record Survey (NEHRS)

Att E - Federal register

OMB: 0920-1015

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52769

Federal Register / Vol. 78, No. 165 / Monday, August 26, 2013 / Notices
question whether the proposal complies
with the standards of section 4 of the
BHC Act.
Unless otherwise noted, comments
regarding the applications must be
received at the Reserve Bank indicated
or the offices of the Board of Governors
not later than September 10, 2013.
A. Federal Reserve Bank of
Philadelphia (William Lang, Senior Vice
President) 100 North 6th Street,
Philadelphia, Pennsylvania 19105–
1521:
1. Fox Chase Bancorp, Inc., Hatboro,
Pennsylvania; to retain voting shares of
Philadelphia Mortgage Advisors,
Plymouth, Pennsylvania, and thereby
engage in originating first and second
mortgages for resale into the secondary
market and to third party investors,
pursuant to section 225.28(b)(1).

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 the use of
automated collection techniques or
other forms of information technology.
Written comments should be received
within 60 days of this notice.

Board of Governors of the Federal Reserve
System, August 21, 2013.
Michael J. Lewandowski,
Associate Secretary of the Board.

Background and Brief Description

[FR Doc. 2013–20705 Filed 8–23–13; 8:45 am]
BILLING CODE 6210–01–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–13–13AFV]

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–7570 or send
comments to LeRoy Richardson, 1600
Clifton Road, MS–D74, Atlanta, GA
30333 or send an email to [email protected].
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including

increased five-fold, from 2,000
physicians to 10,302 physicians. The
increased sample size allows for more
reliable national estimates as well as
state-level estimates on EHR adoption.
NAMCS NEHRS, a voluntary survey,
collects information on characteristics
of physicians and their practices; the
functionalities that are available in
those practices’ EHR systems; and
information on physicians’ intent to
apply for meaningful use incentive
payments. Physician Identification
Number is collected to link NAMCS
NEHRS data with available
administrative data. These data, together
with data from previous years, may be
used to monitor the adoption of EHR as
well as assessing what factors are
associated with EHR adoption.
In addition to the regular NEHRS
questionnaire, which will be fielded
annually, in 2014 half the sample will
receive the expanded NAMCS NEHRS
which has additional questions related
to effects that EHRs have on clinical
workflow and efficiencies, as well as
questions on access, quality, and costs
associated with the delivery of health
care. All 2014 NEHRS respondents (to
either questionnaire) may receive the
expanded survey in 2015 and 2016, as
a follow-up to evaluate the effect of EHR
adoption on the delivery of health care
over time.
The table below provides the average
annual burden for this survey. The first
line represents an average of the half
sample for 2014 and full samples for
2015 and 2016 that receive the regular
NEHRS questionnaire. The second line
represents the 2014 half sample that
will receive the expanded
questionnaire. The third line represents
the full 2014 sample that will be
followed up with the expanded
questionnaire in 2015 and 2016. All of
these are averaged over three years.
Users of NAMCS NEHRS 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.

Proposed Project
The National Ambulatory Medical
Care Survey (NAMCS): National
Electronic Health Record Survey
(NEHRS)—NEW—National Center for
Health Statistics (NCHS), Centers for
Disease Control and Prevention (CDC).
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. The purpose of the
National Electronic Health Record
Survey (NEHRS) is to collect data
annually from office-based physicians to
measure progress in adopting electronic
health records (EHRs) into their
practices. Questions about the use of
EHRs have been asked in the National
Ambulatory Medical Care Survey
(NAMCS) (OMB No. 0920–0234) since
2001. NAMCS NEHRS has been
conducted as a mail survey supplement
under NAMCS since 2008. NCHS is now
seeking OMB approval to make NAMCS
NEHRS an independent survey. The
content will be similar to what was
previously collected. A three-year
approval is requested.
NAMCS NEHRS target universe
consists of all non-Federal office-based
physicians (excluding those in the
specialties of anesthesiology, radiology,
and pathology) who are engaged in
direct patient care.
NAMCS NEHRS is the principal
source of data on national and statelevel EHR adoption in the United States.
In 2008 and 2009, the sample size was
2,000 physicians annually. Starting in
2010, the annual sample size was

ehiers on DSK2VPTVN1PROD with NOTICES

ESTIMATED ANNUALIZED BURDEN TABLE
Type of respondent

Form name

Office-based physicians ....................
Office-based physicians ....................

Regular NEHRS ...............................
Expanded NEHRS ...........................

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Sample size

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Number of
responses per
respondent

8,585
1,717

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1
1

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Hours per
response
20/60
30/60

Total burden
(hours)
2,862
859

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Federal Register / Vol. 78, No. 165 / Monday, August 26, 2013 / Notices
ESTIMATED ANNUALIZED BURDEN TABLE—Continued
Total burden
(hours)

Office-based physicians ....................

NEHRS expansion (Follow-up) ........

6,868

1

30/60

3,434

Total ...........................................

..........................................................

........................

........................

........................

7,155

[FR Doc. 2013–20644 Filed 8–23–13; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–13–13ADJ]

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) 639–7570 or send an
email to [email protected]. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC 20503 or by fax to (202) 395–5806.
Written comments should be received
within 30 days of this notice.
Proposed Project
Generic Clearance for the Collection
of Qualitative Feedback on Agency
Service Delivery—NEW—Centers for
Disease Control and Prevention (CDC),
Office of Surveillance, Epidemiology,
and Laboratory Services (OSELS),
Public Health Surveillance and
Informatics Program Office (PHSIPO),
Informatics Research and Development
Activity (IRDA).

Sample size

Hours per
response

Form name

LeRoy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Center for Disease Control and
Prevention.

As part of a Federal Government-wide
effort to streamline the process to seek
feedback from the public on service
delivery, the CDC has submitted a
Generic Information Collection Request
(Generic ICR): ‘‘Generic Clearance for
the Collection of Qualitative Feedback
on Agency Service Delivery ’’ to OMB
for approval under the Paperwork
Reduction Act (PRA) (44 U.S.C. 3501 et
seq.).
To request additional information,
please contact Kimberly S. Lane,
Centers for Disease Control and
Prevention, 1600 Clifton Road, MS–D74,
Atlanta, GA 30333 or send an email to
[email protected].
SUPPLEMENTARY INFORMATION:
Title: Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery
Abstract: The information collection
activity will garner qualitative customer
and stakeholder feedback in an efficient,
timely manner, in accordance with the
Administration’s commitment to
improving service delivery. By
qualitative feedback we mean
information that provides useful
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative and
actionable communications between the
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.

Type of collection
ehiers on DSK2VPTVN1PROD with NOTICES

Number of
responses per
respondent

Type of respondent

Average
number of
respondents
per activity

Annual
frequency
per response

Average number of activities

Average hours
per response

1,100

1

1,100

30/60

Online surveys, Telephone Surveys, Focus Groups, In person observation/
testing ...........................................................................................................

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Feedback collected under this generic
clearance will provide useful
information, but it will not yield data
that can be generalized to the overall
population. This type of generic
clearance for qualitative information
will not be used for quantitative
information collections that are
designed to yield reliably actionable
results, such as monitoring trends over
time or documenting program
performance. Such data uses require
more rigorous designs that address: The
target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
The Agency received no comments in
response to the 60-day notice published
in the Federal Register on December 22,
2010 (75 FR 80542).
This is a new collection of
information. Respondents will be
screened and selected from Individuals
and Households, Businesses,
Organizations, and/or State, Local or
Tribal Government. Below we provide
CDC’s projected annualized estimate for
the next three years. There is no cost to
respondents other than their time. The
estimated annualized burden hours for
this data collection activity are 550.

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