Att 1_Burden Changes

Attachment 1: Burden changes from the currently approved NAMCS package (0920-0234, Exp. date 03/31/2019)

Where applicable, newly proposed values are captured in parentheses below the currently approved values.

Row 1. 915 traditional physicians and 750 MU physicians (total=1,665) will complete the NAMCS-1 induction questions (1,249 hours).

Row 2. No traditional physicians will now complete Patient Record forms. All will be completed by data collection agent (0 hours).

Row 3. Staff working with 744 traditional physicians will pull and refile records that the data collection agent will abstract (372 hours).

Row 4. 750 MU physicians will prepare and transmit electronic data themselves (750 hours).

Row 5. No change.

Row 6. No change.

Row 7. No CHC providers will now complete Patient Record forms. All will be completed by data collection agent (0 hours).

Row 8. Staff working with 234 CHC providers will pull and refile records that the data collection agent will abstract (117 hours).

Row 9. No change.

Table of Estimated Annualized Burden Hours

Type of Respondents	Form Name	No. of Respondents	No. of Responses per Respondent	Avg. Burden per Response (in hrs.)	Total Burden (in hrs.)
Office-based physicians	Physician Induction Interview (NAMCS-1)	2,590 (1,665)	1	45/60	1,943 (1,249)
	Patient Record form (NAMCS-30) (Physician abstracts)	259 (0)	30	14/60	1,813 (0)
	Pulling, re-filing medical record forms (FR abstracts)	2,201 (744)	30	1/60	1,101 (372)
	Prepare and transmit EHR (MU On-Boarding)	130 (750)	1	60/60	130 (750)
Community Health Centers	Induction Interview – service delivery site (NAMCS-201)	104	1	30/60	52
	Induction Interview – Providers (NAMCS-1)	234	1	30/60	117
	Patient Record form (NAMCS-30) (Provider abstracts)	23 (0)	30	14/60	161 (0)
	Pulling, re-filing medical record forms (FR abstracts)	211 (234)	30	1/60	106 (117)
Reabstraction study	Pulling, re-filing medical record forms (FR abstracts)	72	10	1/60	12
Total					5,435 (2,669)