National Ambulatory Medical Care Survey (NAMCS)

ICR 202105-0920-006

OMB: 0920-0234

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form
Modified
Form and Instruction
Removed
Form and Instruction
Modified
Form and Instruction
Removed
Form and Instruction
Modified
Form
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supplementary Document
2021-05-28
Supporting Statement B
2021-05-28
Supporting Statement A
2021-05-28
ICR Details
0920-0234 202105-0920-006
Received in OIRA 202007-0920-001
HHS/CDC 0920-0234
National Ambulatory Medical Care Survey (NAMCS)
Revision of a currently approved collection   No
Regular 06/01/2021
  Requested Previously Approved
36 Months From Approved 05/31/2022
69,872 46,013
6,819 5,038
0 179,568

The purpose of NAMCS 2021-2023 is to meet the needs and demands for statistical information about the provision of ambulatory medical care services in the United States; this fulfills one of NCHS missions, to monitor the nation's health. Additional justifications for conducting NAMCS include the need for more complete data to study: (1) the performance of the U.S. health care system, (2) care for the rapidly aging population, (3) changes in services such as health insurance coverage change, (4) the introduction of new medical technologies, (5) the use of HCs in the health care community, and (6) the use of EHRs.

PL: Pub.L. 111 - 5 1512 Name of Law: American Recovery and Reinvestment Act of 2009
   US Code: 42 USC 242K Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  86 FR 7398 01/28/2021
86 FR 28837 05/28/2021
No

12
IC Title Form No. Form Name
HC Facility Induction Interview (2020) 0920-0234 Att F1- 2020 NAMCS-201 CHC Service Delivery Site
HC Facility Interview (2021-2023) 0920-0234 CHC Facility Interview Questionnaire
Induction Interview - Community Health Center Providers none, none 2018 CHC Provider Induction Sample Card ,   2019 CDC Provider Questions
Induction Interview - Service Delivery Site (NAMCS-201) none, none, none 2018 CHC Provider Induction Sample Card ,   2019 CHC Provider Induction Interview ,   CDC Service Delivery Induction Interview Sample Card
MU Physician Pulling and Refiling EHR
PFI (2021-2023) 0920-0234 Att C2- 2021 NAMCS-1 Traditional Physician
Physician Induction Interview (2020) 0920-0234 Att P2- 2021 Census Reinterview Instrument
Physician Induction Interview (2021-2023) 0920-0234 Physician Induction Interview (2021-2023)
Prepare and transmit EHR for Visit Data (quarterly) (2021-2023) 0920-0234 EHR Pulling Records
Provider Induction Interview (2020) 0920-0234 HC Facility Induction Interview (2020)
Pulling and Refiling Medical Record Forms EHR Onboarding) (2021-2023) 0920-2034 EHR Pulling Records Burden
Pulling, re-filing medical record forms (FR abstracts) (2020) 0920-0234, 0920-0234 Att R- 2021 EHR Pulling Records Burden ,   PRF Burden Abstract
Pulling, re-filing medical record forms (FR abstracts) (2021-2023) 0920-0234 Att C2- 2021 NAMCS-1 Traditional Physician
Reabstraction Study - Traditional and CHC Providers
Reinterview Study (2021-2023) 0920-0234 Reinterview Study (2021-2023)
Reinterview Study - Traditional Physician and CHC Staff 0920-0234 2020 Reinterview Instrument

  Total Request 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 69,872 46,013 0 23,975 -116 0
Annual Time Burden (Hours) 6,819 5,038 0 1,839 -58 0
Annual Cost Burden (Dollars) 0 179,568 0 -174,318 -5,250 0
Yes
Miscellaneous Actions
Yes
Changing Forms
The goal of the study is to assess the health of the population through patient use of physician offices and community health centers, which include federally-qualified health centers (FQHC), FQHC look-alikes, and Urban Indian Health Centers, and to monitor the characteristics of physician practices. This IC is requesting approval of 6,819 burden hours.

$11,747,341
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Yes
Odion Clunis 770 488-0045 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/01/2021


© 2021 OMB.report | Privacy Policy