60d FRN - published

Att B - Published 60-Day FRN NHCS 5.7.24

38147

Federal Register / Vol. 89, No. 89 / Tuesday, May 7, 2024 / Notices
approval for an estimated 4,311 annual
burden hours. There is no cost to

respondents other than their time to
participate.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden
per response
(in hours)

Number of
responses per
respondent

Total burden
(in hours)

Form name

RCC
Director/Designated
Staff
Member.
ADSC Director/Designated Staff
Member.
RCC/ADSC
Director/Designated
Staff Member.

RCC Questionnaire .........................

5,800

1

30/60

2,900

ADSC Questionnaire .......................

2,750

1

30/60

1,375

Data retrieval call ............................

428

1

5/60

36

Total ..........................................

..........................................................

........................

..........................

........................

4,311

Jeffrey M. Zirger,
Lead, Information Collection Review Office
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.
[FR Doc. 2024–09854 Filed 5–6–24; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–24–0212; Docket No. CDC–2024–
0035]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of
government information, invites the
general public and other federal
agencies the opportunity to comment on
a continuing information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on a proposed information
collection project titled the National
Hospital Care Survey (NHCS). The goal
of the project is to assess patient care in
hospital-based settings and to describe
patterns of health care delivery and
utilization in the United States.
DATES: CDC must receive written
comments on or before July 8, 2024.
ADDRESSES: You may submit comments,
identified by Docket No. CDC–2024–
0035 by any of the following methods:
• Federal eRulemaking Portal:
www.regulations.gov. Follow the
instructions for submitting comments.
SUMMARY:

khammond on DSKJM1Z7X2PROD with NOTICES

Number of
respondents

Type of respondents

VerDate Sep<11>2014

15:55 May 06, 2024

Jkt 262001

• Mail: Jeffrey M. Zirger, Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE, MS H21–8, Atlanta,
Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. CDC will post, without
change, all relevant comments to
www.regulations.gov.
Please note: Submit all comments
through the Federal eRulemaking portal
(www.regulations.gov) or by U.S. mail to
the address listed above.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact Jeffrey M. Zirger,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE, MS
H21–8, Atlanta, Georgia 30329;
Telephone: 404–639–7570; Email: omb@
cdc.gov.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. In addition, the PRA also
requires federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
collection before submitting the
collection to the OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
The OMB is particularly interested in
comments that will help:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the

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functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected;
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses; and
5. Assess information collection costs.
Proposed Project
National Hospital Care Survey
(NHCS) (OMB Control No. 0920–0212,
Exp. 12/31/2024)—Revision—National
Center for Health Statistics (NCHS),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Section 306 of the Public Health
Service (PHS) Act (42 U.S.C. 242k), as
amended, authorizes that the Secretary
of Health and Human Services (DHHS),
acting through NCHS, shall collect
statistics on the extent and nature of
illness and disability of the population
of the United States. This three-year
clearance request for National Hospital
Care Survey (NHCS) includes the
collection of all inpatient and
ambulatory Uniform Bill–04 (UB–04)
claims data or electronic health record
(EHR) data as well as the collection of
hospital-level information via a
questionnaire from a sample of 608
hospitals.
The National Ambulatory Medical
Care Survey (NAMCS) was conducted
intermittently from 1973 through 1985,

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Att B - Published 60-Day FRN NHCS 5.7.24

38148

Federal Register / Vol. 89, No. 89 / Tuesday, May 7, 2024 / Notices

and annually since 1989. The survey is
conducted under authority of Section
306 of the Public Health Service Act (42
U.S.C. 242k). The National Hospital
Discharge Survey (NHDS) (OMB No.
0920–0212, Exp. Date 01/31/2019),
conducted continuously between 1965
and 2010, was the Nation’s principal
source of data on inpatient utilization of
short-stay, non-institutional, nonFederal hospitals, and was the principal
source of nationally representative
estimates on the characteristics of
inpatients including lengths of stay,
diagnoses, surgical and non-surgical
procedures, and patterns of use of care
in hospitals in various regions of the
country. In 2011, NHDS was granted
approval by OMB to expand its content
and to change its name to the National
Hospital Care Survey (NHCS).
In May 2011, recruitment of sampled
hospitals for the NHCS began. Hospitals
in the NHCS are asked to provide data
on all inpatients from their UB–04
administrative claims, or EHRs.
Hospital-level characteristics and
information about telemedicine usage in
the healthcare setting are collected
through an Annual Hospital Interview.

health care acquired infections and
antimicrobial use.
Beginning in 2013, in addition to
inpatient hospital data, hospitals
participating in NHCS were asked to
provide data on the utilization of health
care services in their ambulatory
settings (e.g., EDs and OPDs). Due to
low response rates and a high level of
missing data, OPD data were not
collected in the last approval period
(2022, 2023 and 2024). Collection of
OPD may resume in future years.
Data collected through NHCS are
essential for evaluating the health status
of the population, for the planning of
programs and policy to improve health
care delivery systems of the Nation, for
studying morbidity trends, and for
research activities in the health field.
Changes to the data collection survey
include the removal of COVID–19
questions from the Annual Hospital
Interview (AHI). The burden hours have
been reduced due to a decrease in the
sample size. The new total annualized
burden is 5,826 hours. There is no cost
to respondents other than their time to
participate.

NHCS will continue to provide the same
national health-care statistics on
hospitals that NHDS provided.
Additionally, NHCS collects more
information at the hospital level (e.g.,
volume of care provided by the
hospital), which allow for analyses on
the effect of hospital characteristics on
the quality of care provided. NHCS data
collected from UB–04 administrative
claims and EHRs include all inpatient
discharges, not just a sample. The
confidential collection of personally
identifiable information (PII) allows
NCHS to link episodes of care provided
to the same patient in the ED and/or
OPD and as an inpatient, as well as link
patients to the National Death Index
(NDI) to measure post-discharge
mortality, and Medicare and Medicaid
data to leverage comorbidities. The
availability of patient identifiers also
makes analysis on hospital readmissions
possible. This comprehensive collection
of data makes future opportunities for
surveillance possible, including
analyzing trends and incidence of
opioid misuse, acute myocardial
infarction, heart failure and stroke, as
well as trends and point prevalence of

ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Avg. burden
per response
(in hours)

Total burden
(in hours)

Form name

Hospital DHIM or DHIT .....................
Hospital CEO/CFO ............................
Hospital DHIM or DHIT .....................

123
30
356

1
1
12

1
1
1

123
30
4,272

200

4

1

800

Hospital CEO/CFO ............................

Initial Hospital Intake Questionnaire
Recruitment Survey Presentation ....
Prepare and transmit UB–04 or
State File for Inpatient and Ambulatory (monthly).
Prepare and transmit EHR for Inpatient and Ambulatory (quarterly).
Annual Hospital Interview ................

601

1

1

601

Total ...........................................

...........................................................

........................

........................

........................

5,826

Hospital DHIM or DHIT .....................

Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Public Health Ethics and
Regulations, Office of Science, Centers for
Disease Control and Prevention.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention

[FR Doc. 2024–09855 Filed 5–6–24; 8:45 am]

[60-Day–24–24FA; Docket No. CDC–2024–
0032]

BILLING CODE 4163–18–P

Proposed Data Collection Submitted
for Public Comment and
Recommendations
khammond on DSKJM1Z7X2PROD with NOTICES

Number of
responses per
respondent

Respondents

Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing effort to reduce public
burden and maximize the utility of

SUMMARY:

VerDate Sep<11>2014

15:55 May 06, 2024

Jkt 262001

PO 00000

Frm 00131

Fmt 4703

Sfmt 4703

government information, invites the
general public and other federal
agencies the opportunity to comment on
a proposed information collection, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on an information collection
project titled Human-Centered Design
Effort on Bringing Guidelines to the
Digital Age. This information collection
will allow CDC to understand pain
points in developing solutions that help
develop and implement guidelines that
leverage technology to improve patient
care.
CDC must receive written
comments on or before July 8, 2024.

DATES:

You may submit comments,
identified by Docket No. CDC–2024–
0032 by either of the following methods:

ADDRESSES:

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