NAMCS Supplement of Primary Care Policies (NSPCP) for Managing Patients with High Blood Pressure, High Cholesterol, or Diabetes

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NSPCP Survey	Form	New	Available
Medical Secretary Screener	Form	New	Available
Cognitive Testing Protocol	Form	New	Available
Physician Cognitive Testing Screener	Form	New	Available
Att 7 List of Consultants.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 6b - Westat IRB Approval.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 6a NCHS ERB Approval.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 5b reminder letters 120514.docx	Supplementary Document	Uploaded 2015-03-18	Repair queued
Att 5a Invitation Cover Letter on letterhead.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 4d - Cognitive Test Recruitment 120814.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 4c Cognitive Interview Informed Consent Form NSPCP.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 2b - Federal Register Public Comments.docx	Supplementary Document	Uploaded 2015-03-18	Available
Att 2a 60 day FRN 061914.pdf	Supplementary Document	Uploaded 2015-03-18	Available
Att 1 - Applicable Laws and Regs.docx	Supplementary Document	Uploaded 2015-03-18	Available
NAMCS NSPCP Supporting Statement B 050115.docx	Supporting Statement B	Uploaded 2015-05-15	Available
NAMCS NSPCP Supporting Statement A 050115.docx	Supporting Statement A	Uploaded 2015-05-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215716	NSPCP Survey - Physician	Form	New	NSPCP Survey
215715	Medical Secretary NSPCP Screener	Form	New	Medical Secretary Screener
215714	Physician - Cognitive Testing Protocol	Form	New	Cognitive Testing Protocol
215712	Physician - Cognitive Testing Screener	Form	New	Physician Cognitive Testing Screener

ICR Details

OMB Control No: 0920-1063	ICR Reference No: 201503-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 14AIO
Title: NAMCS Supplement of Primary Care Policies (NSPCP) for Managing Patients with High Blood Pressure, High Cholesterol, or Diabetes
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/23/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	24 Months From Approved
Responses	2,013	0	0
Time Burden (Hours)	429	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This Supplement to the National Ambulatory Medical Care Survey (NAMCS) will provided information about the current state of primary care management policies in physician practices in the United States. Policies of interest are those aimed at management of adult patients with high blood pressure, high cholesterol, or diabetes. CDC and its partners want to better support primary care physicians and their medical practices in reducing mortality and morbidity due to these chronic conditions.

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Authorizing Statute(s): US Code: 41 USC Sec 306 (242K) Name of Law: Public Health Services Act
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 35164	06/19/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 14140	03/18/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NSPCP Survey - Physician	none	NSPCP Survey
Medical Secretary NSPCP Screener	none	Medical Secretary Screener
Physician - Cognitive Testing Protocol	none	Cognitive Testing Protocol
Physician - Cognitive Testing Screener	none	Physician Cognitive Testing Screener

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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	2,013	0	0	2,013	0	0
Annual Time Burden (Hours)	429	0	0	429	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: No

Burden Reduction Due to:

Short Statement: This is a new data collection request for 2 years.

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Annual Cost to Federal Government: $197,595

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 03/23/2015

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