[Federal Register Volume 62, Number 238 (Thursday, December 11, 1997)]
[Notices]
[Pages 65268-65271]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-32399]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[INFO-98-06]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer on (404) 639-7090.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques for other
forms of information technology. Send comments to Wilma Johnson, CDC
Reports Clearance Officer, 1600 Clifton Road, MS-D24, Atlanta, GA
30333. Written comments should be received within 60 days of this
notice.
Proposed Projects
1. National Hospital Ambulatory Medical Care Survey--(0920-0278)--
Extension--The National Hospital Ambulatory Medical Care Survey
(NHAMCS) has been conducted annually since 1992 by the Division of
Health Care Statistics, National Center for Health Statistics, CDC. The
NHAMCS is the principal source of data on the approximately 158 million
visits to hospital emergency and outpatient departments and is the only
source of nationally representative estimates on the demographic
characteristics of outpatients, diagnoses, diagnostic services,
medication therapy, and the patterns of use of care in hospitals which
differ in size, location, and ownership. Additionally, the NHAMCS is
the only source of national estimates on non-fatal causes of injury in
the emergency department.
[[Page 65269]]
These data complement the data on visits to non-Federal physicians
in office-based practices collected through the NHAMCS (0920-0234),
together providing data on approximately 90 percent of the ambulatory
care provided in the U.S. Data collected through the NHAMCS are
essential for the planning of health services, for improving medical
education, determining health care work force needs and assessing the
health status of the population. Users of NHAMCS data include, but are
not limited to, congressional offices, Federal agencies such as NIH.,
various private associations such as the American Heart Association, as
well as universities and state health departments. The total cost to
respondents is estimated to be $292,223.
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Number of Number of Avg. burden/ Total
Noninstitutional general and short-stay hospital respondents responses/ response burden (in
outpatient and emergency departments (departments) respondent (in hrs.) hrs.)
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Induction forms.......................................... 440 6 1 2,640
Patient record forms:
Emergency departments................................ 425 50 0.06666 1,417
Outpatient departments............................... 275 200 0.066666 3,667
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Total.............................................. ............. ........... ............ 7,724
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2. Children's Longitudinal Development Study--New--Since 1991,
surveillance of children aged three to ten years who have one or more
select developmental disabilities (cerebral palsy, mental retardation,
hearing impairment, and vision impairment) has been conducted in the
five-county Atlanta metropolitan area through the Metropolitan Atlanta
Developmental Disabilities Surveillance Program (MADDSP). Children have
been identified primarily through the special education programs of the
public schools in those five counties. Recently, surveillance has been
expanded to identify children with cerebral palsy at younger ages
through a broader array of medical facilities where diagnostic
evaluations are performed, and to include autism as one of the
developmental disabilities routinely under surveillance. An ongoing
case-control study is proposed to yearly (1) contact parents of all
children with any of the five developmental disabilities who are newly
identified in the surveillance data base and who were born in the metro
Atlanta area (approximately 675 children per year) and contact parents
of 250 children used as controls in order to request access to both
maternal prenatal and labor and delivery hospital records and infant
hospital records prior to newborn discharge (all accessed medical
records will be reviewed to obtain detailed information on pre- and
perinatal risk factors for developmental disabilities; this type of
information typically is lacking or incomplete in school records or
childhood medical records) and (2) conduct telephone interviews with
mothers of approximately 250 children with cerebral palsy or severe
mental retardation selected from the larger pool of approximately 675
children, plus interview mothers of the 250 control children. The
interviews will supply additional risk factor information relating to
the mothers' medical and reproductive histories, prenatal behaviors and
exposures, and family histories of developmental problems. Initially,
to be cases, children in the interview sample would be under seven
years of age at the time they were diagnosed as having cerebral palsy
or severe mental retardation. A sample of Atlanta-born children of
similar age and birth weight to the interview case children would be
randomly identified from vital records and used as controls.
Additionally, photographs and head circumference measurements of case
and control mothers and children included in the interview sample will
be taken either in the home or at a centralized location. The total
cost to respondents is $0.
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Average
Number of Number of burden/ Total
Respondents respondents responses/ response burden (in
respondents (in hrs.) hrs.)
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Mothers:
Contact calls........................................... 1,000 1 .33 330
Scheduling call......................................... 500 1 .33 165
Telephone interview..................................... 500 1 1.50 750
Photography/anthropometry............................... 500 1 .75 375
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Total................................................. ........... ........... ........... 1,620
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3. Cognitive Function and Symptom Patterns in Gulf War Veterans--
New--This study will use functional magnetic resonance imaging (fMRI)
on previously studied cohorts of Gulf War veterans and Germany-deployed
Gulf War-era controls to determine if there are differences in patterns
of brain activation between both Gulf War veterans reporting a high
level of physical symptoms and Gulf War veterans with fewer symptoms
and between those veterans deployed to the Persian Gulf and those
deployed to Germany. In addition, an assessment of the relationship
between brain activation patterns and levels of cognitive functioning
will be completed. Patterns of activation on fMRI will be measured
while the subject is presented with a number of challenge paradigms
including a finger tapping task and a test of visual working memory.
Conventional magnetic resonance imaging scans will also be acquired on
all subjects prior to the fMRI in order to rule out subjects with brain
pathology
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(e.g., stroke, cancer) and also to examine whether there are volumetric
differences between the groups within specific neuroanatomical areas.
The total cost to respondents is $0.00.
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Number of Avg. burden/ Total
Respondents Number of responses/ response burden (in
respondents respondent (in hrs.) hrs.)
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High-symptom Gulf-deployed veterans......................... 40 1 1.5 60
Low symptom Gulf-deployed veterans.......................... 40 1 1.5 60
Normal controls (non-Gulf-deployed veterans)................ 40 1 1.5 60
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Total................................................. ........... ........... ........... 180
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4. X-ray Examination Program--(0920-0020)--Extension--The X-ray
Examination Program is a federally mandated program under the Federal
Mine Safety and Health Act of 1977, PL-95-164. The Act provides the
regulatory guidance for the administration of the National Coal
Workers' X-ray Surveillance Program, a surveillance program to protect
the health and safety of underground coal miners. This program requires
the gathering of information from coal mine operators, participating
miners, participating x-ray facilities and participating physicians.
The Appalachian Laboratory for Occupational Safety and Health (ALOSH),
National Institute for Occupational Safety and Health (NIOSH) is
charged with administration of this program. The total cost to
respondents is $47,910.00.
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Number of Avg. burden/ Total
Respondents Number of responses/ response burden (in
respondents respondent (in hrs.) hrs.)
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Physicians/interpretation.................................. 20,000 1 0.05 1,000
Physician/certification.................................... 350 1 0.166 58
Miners..................................................... 10,000 1 0.3333 3,333
Mine operators............................................. 500 1 0.5 250
Facilities................................................. 300 1 0.5 150
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Total................................................ ........... ........... ............ 4,791
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5. National Ambulatory Medical Care Survey--(0920-0234)--
Extension--The National Ambulatory Medical Care Survey (NAMCS) was
conducted annually from 1973 to 1981, again in 1985, and resumed as an
annual survey in 1989. It is directed by the Division of Health Care
Statistics, National Center for Health Statistics, CDC. The purpose of
NAMCS is to meet the needs and demands for statistical information
about the provision of ambulatory medical care services in the United
States. Ambulatory services are rendered in a wide variety of settings,
including physicians' offices and hospital outpatient and emergency
departments. The NAMCS target population consists of all office visits
within the United States made by ambulatory patients to non-Federal
office-based physicians (excluding those in the specialties of
anesthesiology, radiology, and pathology) who are engaged in direct
patient care. The complement portion of data collection consists of the
remaining physicians in the AMA and AOA files; that is, physicians who
AMA and AOA classify as being federally employed, or in the three
specialties excluded from the traditional NAMCS, or as not spending the
majority of their professional time in office based practice. Since
more than 80 percent of all direct ambulatory medical care visits occur
in physicians' offices, the NAMCS provides data on the majority of
ambulatory medical care services. To complement these data, in 1992
NCHS initiated the National Hospital Ambulatory Medical Care Survey
(NHAMCS, OMB No. 0920-0278) to provide data concerning patient visits
to hospital outpatient and emergency departments. The NAMCS, together
with the NHAMCS constitute the ambulatory component of the National
Health Care Survey (NHCS), and will provide coverage of more than 90
percent of ambulatory medical care.
The NAMCS provides a range of baseline data on the characteristics
of the users and providers of ambulatory medical care. Data collected
include the patients' demographic characteristics and medical problems,
and the physicians' diagnostic services, therapeutic prescriptions and
disposition decisions. These data, together with trend data, may be
used to monitor the effects of change in the health care system,
provide new insights into ambulatory medical care, and stimulate
further research on the use, organization, and delivery of ambulatory
care.
Users of NAMCS data include congressional and other federal
government agencies (e.g. NIMH, NIAAA, NCI, HRSA), state and local
governments, medical schools, schools of public health, colleges and
universities, private businesses, nonprofit foundations and
corporations, professional associations, as well as individual
practitioners, researchers, administrators and health planners. Users
vary from the inclusion of a few selected statistics in a large
research effort, to an in-depth analysis of the entire NAMCS data set
covering several years. The total cost to respondents is estimated to
be $153,250.
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Number of Number of Avg. burden/ Total
Respondents respondents responses/ response burden (in
(physicians) respondent (in hrs.) hrs.)
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Office-based physicians................................... 2,500 1 0.25 625
Induction form............................................ 2,500 30 0.03333 2,500
Patient record form....................................... ............ ........... ............ ...........
[[Page 65271]]
Complement physicians..................................... 500 1 0.25 125
Induction form............................................ 100 30 0.0333 100
Patient record form....................................... ............ ........... ............ ...........
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Total............................................... ............ ........... ............ 3,350
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6. Information Collection to Establish Community Assistance Panels
(CAPs)--(0923-0007)--Extension--The Agency for Toxic Substances and
Disease Registry (ATSDR) is mandated pursuant to the 1980 Comprehensive
Environmental Response Compensation and Liability Act (CERCLA), and its
1986 Amendments, The Superfund Amendments and Reauthorization Act
(SARA), to prevent or mitigate adverse human health effects and
diminished quality of life resulting from the exposure of hazardous
substances into the environment. To facilitate this effort, ATSDR seeks
the cooperation of the community being evaluated through direct
communication and interaction. Direct community involvement is required
to conduct a comprehensive scientific study and to effectively
disseminate specific health information in a timely manner. Also, this
direct interaction fosters a clear understanding of health issues that
the community considers to be of importance and establishes credibility
for the agency. The Community Assistance Panel nomination forms are
completed by individuals in the community to nominate themselves or
others for participation on these panels. Other than the possible cost
of a postage stamp, there is no cost to respondents. This request is
for a 3-year extension of the current OMB approval of the Community
Assistance Panel nominations form.
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Number of Avg. burden/ Total
Respondents Number of responses/ response burden (in
respondents respondents (in hrs.) hrs.)
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General Public.............................................. 300 1 .1666 50
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Total................................................. ........... ........... ........... 50
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Dated: December 5, 1997.
Wilma G. Johnson,
Acting Associate Director for Policy Planning and Evaluation, Centers
for Disease Control and Prevention (CDC).
[FR Doc. 97-32399 Filed 12-10-97; 8:45 am]
BILLING CODE 4163-18-M
