[Federal Register Volume 72, Number 182 (Thursday, September 20, 2007)]
[Notices]
[Pages 53779-53780]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-18561]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, call the 
HRSA Reports Clearance Office on (301) 443-1129.
    The following request has been submitted to the Office of 
Management and Budget for review under the Paperwork Reduction Act of 
1995:

Proposed Project: Children's Hospital Graduate Medical Education 
(CHGME) Payment

Program Annual Report: NEW

    The CHGME Payment Program was enacted by Public Law 106-129 to 
provide Federal support for graduate medical education (GME) to 
freestanding children's hospitals, similar to Medicare GME support 
received by other non-children's hospitals. The legislation mandates 
that eligible children's hospitals will receive payments for both 
direct and indirect medical education. Direct payments are

[[Page 53780]]

designed to offset the expenses associated with operating approved 
graduate medical residency training programs and indirect payments are 
designed to compensate hospitals for expenses associated with the 
treatment of more severely ill patients and the additional costs 
relating to teaching residents in such programs.
    The CHGME Payment Program was reauthorized for a period of five 
years in October 2006 by Public Law 109-307. The reauthorizing 
legislation requires that children's hospitals participating and 
receiving funds from the CHGME Payment Program provide information 
about their residency training programs in an annual report that will 
be an addendum to the hospitals' annual applications for funds. 
Specifically, data are required to be collected on: (1) The types of 
training programs that the hospital provided for residents such as 
general pediatrics, internal medicine/pediatrics, and pediatric 
subspecialties including both American Board of Pediatrics certified 
medical subspecialties and non-medical subspecialties approved by other 
medical certification boards; (2) the number of training positions for 
residents, the number of such positions recruited to fill, and the 
number of positions filled; (3) the types of training that the hospital 
provided for residents related to the health care needs of difference 
populations such as children who are underserved for reasons of family 
income or geographic location, including rural and urban areas; (4) 
changes in residency training the hospital made during an academic 
year, including changes in curricula, training experiences, and types 
of training programs, and benefits that have resulted from such changes 
and changes for purposed of training residents in the measurement and 
improvement and the quality and safety of patient care; and (5) the 
numbers of residents (disaggregated by specialty and subspecialty) who 
completed training in the academic year and provide care within the 
borders of the service area of the hospital or within the borders of 
the State in which the children's hospital is located. For purposes of 
the annual report data collection, ``residents'' are those who are (1) 
in full-time equivalent resident training positions in any training 
program sponsored by the hospital; or (2) in a training program 
sponsored by an entity other than the hospital who spend more than 75 
percent of their time training at the hospital.
    The annual report data collection instruments consist of Excel 
workbooks with several pages (worksheets) each. These data collection 
instruments for the annual report were pre-tested by nine participating 
CHGME Payment Program hospitals. Each hospital provided an estimate of 
the number of hours required to complete each part of the annual 
report. Following the pre-test, the data collection instruments were 
significantly reduced by collapsing certain categories, shifting 
several questions from the individual GME training program level to the 
hospital level instrument, and by omitting several questions. As a 
result, the estimated burden to each respondent was significantly 
reduced.
    The estimated annual burden is as follows:

 
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                                     Number of     Responses per   Total number      Hours per     Total burden
            Form name               respondents     respondent     of responses      response          hours
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Screening Instrument............              57               1              57            10.0           570.0
Annual Report, Hospital and                   57               1              57            74.8          4263.6
 Program-Level Information......
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    Total.......................              57  ..............              57            84.8          4833.6
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    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the desk officer for HRSA, either by e-mail to [email protected] or by fax to 202-395-6974. Please direct all 
correspondence to the ``attention of the desk officer for HRSA.''

    Dated: September 14, 2007.
Alexandra Huttinger,
Acting Director, Division of Policy Review and Coordination.
[FR Doc. E7-18561 Filed 9-19-07; 8:45 am]
BILLING CODE 4165-15-P