[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Notices]
[Pages 89114-89115]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-29503]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Children's Hospitals Graduate Medical Education 
Payment Program Application and Full-Time Equivalent Resident 
Assessment Forms

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

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), 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 ICR should be received no later than January 9, 
2017.

ADDRESSES: Submit your comments to [email protected] or mail the HRSA 
Information Collection Clearance Officer, Room 14N-39, 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 Application and Full-Time Equivalent 
Resident Assessment Forms 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 the CHGME Support Reauthorization Act of 2013 (Pub. L. 
113-98) to provide Federal support for graduate medical education (GME) 
to freestanding children's hospitals. The legislation indicates that 
eligible children's hospitals will receive payments for both direct and 
indirect medical education. The CHGME Payment Program application and 
full-time equivalent (FTE) resident assessment forms received OMB 
clearance on June 30, 2014.
    The CHGME Support Reauthorization Act of 2013 included a provision 
to allow certain newly qualified children's hospitals to apply for 
CHGME Payment Program funding. The CHGME Payment Program application 
forms have been revised to accommodate the new statute. In addition, a 
payment question included in the CHGME Payment Program application 
forms has been removed, since the participating children's hospitals 
are now required to electronically communicate their financial 
information to the Payment Management System through the Electronic 
Handbook.
    The form changes are only applicable to the HRSA 99-1 (also known 
as Exhibit O (2)) and HRSA 99-5 forms. All other hospital and auditor 
forms are the same as currently approved. The changes to the HRSA 99-1 
and HRSA 99-5 forms require OMB approval and are as follows:
    1. HRSA 99-1: Add additional description to Line 4.06 (both Page 2 
and Page 2 Supplemental), 5.06 and 6.06. The current description is 
``FTE adjusted cap.'' The new description will be ``FTE adjusted cap or 
2013 CHGME Reauthorization cap due to Public Law 113-98.''
    2. HRSA 99-5: Remove Payment Information question and check boxes, 
applicable only to: (1) Hospitals which have not previously 
participated in the CHGME Payment Program, and (2) hospitals in which 
financial institution information has changed since submission of its 
last application.
    Need and Proposed Use of the Information: Data on the number of FTE 
residents trained are collected from children's hospitals applying for 
CHGME Payment Program funding. These data are used to determine the 
amount of direct and indirect medical education payments to be 
distributed to participating children's hospitals. Indirect medical 
education payments are derived from a formula that requires the 
reporting of discharges, beds, and case mix index information from 
participating children's hospitals. As required by statute, the FTE 
resident assessment shall determine any changes to the FTE resident 
counts initially reported to the CHGME Payment Program.
    Likely Respondents: The likely respondents include the estimated 60 
children's hospitals that apply and receive CHGME Payment Program 
funding, as well as the 30 auditors contracted by HRSA to perform the 
FTE resident assessments of the children's hospitals participating in 
the CHGME Payment Program. Children's hospitals applying for CHGME 
Payment Program funding are required by the CHGME Payment Program 
statute to submit data on the number of FTE residents trained in an 
annual application. Once funded by the CHGME Payment Program, these 
same children's hospitals are required to submit audited data on the 
number of FTE residents trained during the federal fiscal year to 
participate in the reconciliation payment process. Contracted auditors 
are requested by

[[Page 89115]]

HRSA to submit assessed data on the number of FTE residents trained by 
the children's hospitals participating in the CHGME Payment Program in 
an FTE resident assessment summary.
    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 ICR 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               2             120            0.33            39.6
 (Initial and Reconciliation)...
HRSA 99 (Initial and                          60               2             120            0.33            39.6
 Reconciliation)................
HRSA 99-1 (Initial).............              60               1              60            26.5           1,590
HRSA 99-1 (Reconciliation)......              60               1              60             6.5             390
HRSA 99-1 (Supplemental) (FTE                 30               2              60            3.67           220.2
 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            12.5             750
HRSA 99-5 (Initial and                        60               2             120            1.55             186
 Reconciliation)................
CFO Form Letter (Initial and                  60               2             120            0.33            39.6
 Reconciliation)................
Exhibit 2 (Initial and                        60               2             120            0.33            39.6
 Reconciliation)................
Exhibit 3 (Initial and                        60               2             120            0.33            39.6
 Reconciliation)................
Exhibit 4 (Initial and                        60               2             120            0.33            39.6
 Reconciliation)................
FTE Resident Assessment Cover                 30               2              60            0.33            19.8
 Letter (FTE Resident
 Assessment)....................
Conversation Record (FTE                      30               2              60            3.67           220.2
 Resident Assessment)...........
Exhibit C (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit F (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit N (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit O(1) (FTE Resident                    30               2              60            3.67           220.2
 Assessment)....................
Exhibit O(2) (FTE Resident                    30               2              60            26.5            1590
 Assessment)....................
Exhibit P (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit P(2) (FTE Resident                    30               2              60            3.67           220.2
 Assessment)....................
Exhibit S (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit T (FTE Resident                       30               2              60            3.67           220.2
 Assessment)....................
Exhibit T(1) (FTE Resident                    30               2              60            3.67           220.2
 Assessment)....................
Exhibit 1 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
Exhibit 2 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
Exhibit 3 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
Exhibit 4 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
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    Total.......................            * 90  ..............            * 90  ..............        8,164.80
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* The total is 90 because the same hospitals and auditors are completing the forms.

    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.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-29503 Filed 12-8-16; 8:45 am]
 BILLING CODE 4165-15-P