[Federal Register Volume 79, Number 28 (Tuesday, February 11, 2014)]
[Notices]
[Pages 8194-8196]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-02897]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995), the Health Resources and Services 
Administration (HRSA) announces plans to submit an Information 
Collection Request (ICR), described below, to the Office of Management 
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks 
comments from the public regarding the burden estimate, below, or any 
other aspect of the ICR.

DATES: Comments on this Information Collection Request must be received 
within 60 days of this notice.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 10-29, Parklawn 
Building, 5600 Fishers Lane, Rockville, MD 20857.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the data collection plans and 
draft instruments, email [email protected] or call the HRSA 
Information Collection Clearance Officer at (301) 443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the information request collection title 
for reference.
    Information Collection Request Title: Children's Hospitals Graduate 
Medical Education Payment Program. OMB No. 0915-0247 Revision.
    Abstract: The Children's Hospitals Graduate Medical Education 
(CHGME) Payment Program was enacted by Public Law 106-129 and 
reauthorized by Public Law 109-307 to provide federal support for 
graduate medical education (GME) to freestanding children's hospitals. 
This legislation attempts to provide support for GME comparable to the 
level of Medicare GME support received by other, non-children's 
hospitals. The legislation indicates that eligible children's hospitals 
will receive payments for both direct and indirect medical education. 
Direct payments are 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 Centers for Medicare and Medicaid Services (CMS) issued a final 
rule in the Federal Register regarding Sections 5503, 5504, 5505, and 
5506 of the Affordable Care Act of 2010, Public Law 111-148 on 
Wednesday, November 24, 2010. This final rule included policy changes 
on counting resident time in non-provider settings, counting resident 
time for didactic training, and the re-distribution of resident caps. 
It required modification of the data collection forms within the CHGME 
Payment Program application. The necessary modifications were made and 
received OMB clearance on June 30, 2012.
    On September 30, 2013, CMS published revised forms on their Web 
site, requiring additional modifications of the data collection forms 
in the CHGME Payment Program application. The CHGME Payment Program 
application forms have been adjusted to accommodate the most recent CMS 
policy changes. These changes require OMB approval.
    Need and Proposed Use of the Information: Data are collected on the 
number of full-time equivalent residents in applicant children's 
hospitals' training programs to determine the amount of direct and 
indirect medical education payments to be distributed to participating 
children's hospitals. Indirect medical education payments will also be 
derived from a formula that

[[Page 8195]]

requires the reporting of discharges, beds, and case mix index 
information from participating children's hospitals.
    Hospitals will also be requested to submit data on the number of 
full-time equivalent (FTE) residents trained during the federal fiscal 
year to participate in the reconciliation payment process. Auditors 
will be requested to submit data on the number of FTE residents trained 
by the hospitals in an FTE resident assessment summary. An assessment 
of the hospital data ensures that appropriate CMS regulations and CHGME 
program guidelines are followed in determining which residents are 
eligible to be claimed for funding. The audit results impact final 
payments made by the CHGME Payment Program to all eligible children's 
hospitals.
    Likely Respondents: Hospitals applying for and receiving CHGME 
funds and fiscal intermediaries auditing data submitted by the 
hospitals receiving CHGME funds.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install and utilize technology and 
systems for the purpose of collecting, validating and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this Information Collection Request are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
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                                                                                      Average
                                     Number of       Number of         Total        burden per     Total burden
            Form name               respondents   responses  per     responses     response  (in       hours
                                                     respondent                       hours)
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Application Cover Letter                      60               1              60            0.33            19.8
 (Initial)......................
Application Cover Letter                      60               1              60            0.33            19.8
 (Reconciliation)...............
HRSA 99 (Initial)...............              60               1              60            0.33            19.8
HRSA 99 (Reconciliation)........              60               1              60            0.33            19.8
HRSA 99-1 (Initial).............              60               1              60           26.50         1,590.0
HRSA 99-1 (Reconciliation)......              60               1              60            6.50           390.0
HRSA 99-1 (Supplemental) (FTE                 30               1              30            3.67           110.1
 Resident Assessment)...........
HRSA 99-2 (Initial).............              60               1              60           11.33           679.8
HRSA 99-2 (Reconciliation)......              60               1              60            3.67           220.2
HRSA 99-4 (Reconciliation)......              60               1              60           12.50           750.0
HRSA 99-5 (Initial).............              60               1              60            0.33            19.8
HRSA 99-5 (Reconciliation)......              60               1              60            0.33            19.8
CFO Form Letter (Initial).......              60               1              60            0.33            19.8
CFO Form Letter (Reconciliation)              60               1              60            0.33            19.8
FTE Resident Assessment Cover                 30               1              30            0.33             9.9
 Letter (FTE Resident
 Assessment)....................
Conversation Record (FTE                      30               1              30            3.67           110.1
 Resident Assessment)...........
Exhibit C (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit F (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit N (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit O(1) (FTE Resident                    30               1              30            3.67           110.1
 Assessment)....................
Exhibit O(2) (FTE Resident                    30               1              30            26.5           795.0
 Assessment)....................
Exhibit P (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit P(2) (FTE Resident                    30               1              30            3.67           110.1
 Assessment)....................
Exhibit S (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit T (FTE Resident                       30               1              30            3.67           110.1
 Assessment)....................
Exhibit T(1) (FTE Resident                    30               1              30            3.67           110.1
 Assessment)....................
Exhibit 1 (FTE Resident                       30               1              30            0.33             9.9
 Assessment)....................
Exhibit 2 (Initial,                           90               1              90            0.33            29.7
 Reconciliation and FTE Resident
 Assessment)....................
Exhibit 3 (Initial,                           90               1              90            0.33            29.7
 Reconciliation and FTE Resident
 Assessment)....................
Exhibit 4 (Initial,                           90               1              90            0.33            29.7
 Reconciliation and FTE Resident
 Assessment)....................
                                 -------------------------------------------------------------------------------
    Total.......................              90  ..............              90  ..............         5,962.8
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[[Page 8196]]

    HRSA specifically requests comments on (1) the necessity and 
utility of the proposed information collection for the proper 
performance of the agency's functions, (2) the accuracy of the 
estimated burden, (3) ways to enhance the quality, utility, and clarity 
of the information to be collected, and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.

    Dated: February 4, 2014.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2014-02897 Filed 2-10-14; 8:45 am]
BILLING CODE 4165-15-P