OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201503-0920-006 · OMB 0920-1063 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
NSPCP Survey - Physician Form New Available
Medical Secretary NSPCP Screener Form New Available
Physician - 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
IC IDCollectionTypeStatusForm
215716 NSPCP Survey - Physician Form New
215715 Medical Secretary NSPCP Screener Form New
215714 Physician - Cognitive Testing Protocol Form New
215712 Physician - Cognitive Testing Screener Form New
ICR Details
0920-1063 201503-0920-006
Historical Active
HHS/CDC 14AIO
NAMCS Supplement of Primary Care Policies (NSPCP) for Managing Patients with High Blood Pressure, High Cholesterol, or Diabetes
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/15/2015
Retrieve Notice of Action (NOA) 03/23/2015
  Inventory as of this Action Requested Previously Approved
05/31/2017 24 Months From Approved
2,013 0 0
429 0 0
0 0 0
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.
US Code: 41 USC Sec 306 (242K) Name of Law: Public Health Services Act
  
None
Not associated with rulemaking
  79 FR 35164 06/19/2014
80 FR 14140 03/18/2015
Yes
  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
Yes
Miscellaneous Actions
No
This is a new data collection request for 2 years.
$197,595
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Marsh 404 639-4773 [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.
03/23/2015