[Federal Register Volume 79, Number 77 (Tuesday, April 22, 2014)]
[Notices]
[Pages 22502-22504]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-09186]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Health Resources and Services Administration 
(HRSA) has submitted an Information Collection Request (ICR) to the 
Office of Management and Budget (OMB) for review and approval. Comments 
submitted during the first public review of this ICR will be provided 
to OMB. OMB will accept further comments from the public during the 
review and approval period.

DATES: Comments on this ICR should be received no later than May 22, 
2014.

ADDRESSES: Submit your comments, including the Information Collection 
Request Title, to the desk officer for HRSA, either by email to [email protected] or by fax to 202-395-5806.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email the HRSA Information 
Collection Clearance Officer at [email protected] or call (301) 443-
1984.

SUPPLEMENTARY INFORMATION:
    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 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 requires that eligible 
children's hospitals receive payments for both direct and indirect 
medical

[[Page 22503]]

education expenses. Payments for direct expenses offset the expenses 
associated with operating approved graduate medical residency training 
programs, and payments for indirect expenses 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 redistribution of resident caps, 
which 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 cost report forms on 
their Web site; specifically form CMS 2552-10, Worksheet E-4, 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 (FTE) 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 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 
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 full-time equivalent 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 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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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         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           26.50           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)....................

[[Page 22504]]

 
Exhibit 4 (Initial,                           90               1              90            0.33            29.7
 Reconciliation and FTE Resident
 Assessment)....................
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    Total.......................              90  ..............              90  ..............         5,962.8
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    Dated: April 14, 2014.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2014-09186 Filed 4-21-14; 8:45 am]
BILLING CODE 4165-15-P