National Ambulatory Medical Care Survey (NAMCS)

OMB Control No: 0920-0234	ICR Reference No: 202210-0920-012
Status: Received in OIRA	Previous ICR Reference No: 202105-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0234
Title: National Ambulatory Medical Care Survey (NAMCS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 10/21/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2024
Responses	83,206	69,872
Time Burden (Hours)	37,744	6,819
Cost Burden (Dollars)	0	0

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Abstract: The purpose of this request is for NAMCS to meet the needs and demands for statistical information about the provision of ambulatory medical care services in the United States; and fulfill NCHS’ mission to collect, analyze, and disseminate timely, relevant, and accurate health data and statistics. 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, (4) the introduction of new medical technologies, (5) the use of HCs in the health care community, and (6) the use of EHRs.

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Authorizing Statute(s): US Code: 42 USC 242K Name of Law: Public Health Service Act    PL: Pub.L. 111 - 5 1512 Name of Law: American Recovery and Reinvestment Act of 2009

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:
	87 FR 15429	03/18/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 59427	09/30/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

IC Title Form No. Form Name ACPI 0920-0234 ACPI Advance Practice ACPI 0920-0234 Advanced Practice ACPI Contact Tracing 0920-0234 Tracing Questionnaire Contact Tracing 0920-0234 Tracing Questionnaire HC Facility Interview 2022 0920-0234 Health Center (HC) Facility Interview HC Facility Interview (2023-2025) 0920-0234 HC Facility Interview questionnaire PFI (2023- 2025) 0920-0234 PFI (2023-2025) 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) (2022) 0920-0234, 0920-0234 Attachment O1_NAMCS EHR Record Pulling Burden ,   Attachment O2_NAMCS EHR Record Pulling Burden Prepare and transmit EHR for Visit Data (quarterly) (2022) 0920-0234 Attachment O1_NAMCS EHR Record Pulling Burden Prepare and transmit EHR for Visit Data (quarterly) (2023-2025) 0920-0234 Attachment O1_NAMCS EHR Record Pulling Burden 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 Reinterview Study (2021-2023) 0920-0234 Reinterview Study (2021-2023) Reinterview Study - Traditional Physician and CHC Staff 0920-0234 2020 Reinterview Instrument Set-up Fee Questionnaire 0920-0234 Attachment J_Set-up Fee Questionnaire Set-up Fee Questionnaire (2023-2025) 0920-0234 Attachment J_Set-up Fee Questionnaire

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ICR Summary of Burden

	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	83,206	69,872	0	1,370	11,964	0
Annual Time Burden (Hours)	37,744	6,819	0	28,708	2,217	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: A total burden of 37,744 hours is requested for NAMCS. This is an increase of 30,925 burden hours due to program changes.

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Annual Cost to Federal Government: $8,747,341

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? Yes

Agency Contact: Odion Clunis 770 488-0045 [email protected]

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  Currently, there are 6,819 burden hours in the OMB inventory. A total burden of 37,744 hours is requested for NAMCS. This is an increase of 30,925 burden hours due to program changes. There is an increase of 19,404 burden hours because of the revision of the Provider Interview Component (redesign of the interview questionnaire and additions to the sample and scope). There is an increase of 772 burden hours because of changes to the HC Component (new Set-Up Fee Questionnaire and additions to the sample). Lastly, there is an increase of 10,750 attributed to the Provider Electronic Component because of the revision sample and submission method.

Approved RCFs using this ICR

Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

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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: 10/21/2022

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