[Federal Register Volume 84, Number 133 (Thursday, July 11, 2019)]
[Notices]
[Pages 33079-33080]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-14752]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Public Comment Request; Information Collection Request Title: 
Children's Hospitals Graduate Medical Education Payment Program, OMB 
No. 0915-0247, Extension

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 of the Paperwork Reduction 
Act of 1995 for opportunity for public comment on proposed data 
collection projects, 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 September 
9, 2019.

ADDRESSES: Submit your comments to [email protected] or mail them to 
HRSA Information Collection Clearance Officer, Room 14N136B, 5600 
Fishers Lane, Rockville, Maryland 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 Lisa Wright-
Solomon, the HRSA Information Collection Clearance Officer at (301) 
443-1984.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the ICR title for reference.
    Information Collection Request Title: Children's Hospitals Graduate 
Medical Education Payment Program, OMB No. 0915-0247, Extension.
    Abstract: In 1999, the Children's Hospitals Graduate Medical 
Education (CHGME) Payment Program was enacted by Public Law 106-129 and 
most recently amended by the Dr. Benjy Frances Brooks Children's 
Hospitals Graduate Medical Education (GME) Support Reauthorization Act 
of 2018 (Pub. L. 115-241). The purpose of this program is to fund 
freestanding children's hospitals to support the training of pediatric 
and other residents in GME programs. 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; 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.
    Need and Proposed Use of the Information: Data based on the number 
of full-time equivalent (FTE) residents in applicant children's 
hospital 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 be 
derived from a formula that requires the reporting of discharges, beds, 
and case mix index information from participating children's hospitals.

[[Page 33080]]

    HRSA will not collect any additional information on these forms. 
The previously approved information collection included 25 separate 
forms; this request includes 29 separate forms. Previously, the four 
additional forms were combined. Specifically:
     HRSA 99-2 is now HRSA 99-2 (Initial) and HRSA 99-2 
(Reconciliation);
     Exhibit 2 (Initial, Resident FTE Assessment, 
Reconciliation) is now Exhibit 2 (Initial and Reconciliation) and 
Exhibit 2 (FTE Resident Assessment);
     Exhibit 3 (Initial, Resident FTE Assessment, 
Reconciliation) is now Exhibit 3 (Initial and Reconciliation) and 
Exhibit 3 (FTE Resident Assessment); and
     Exhibit 4 (Initial, Resident FTE Assessment, 
Reconciliation) is now Exhibit 4 (Initial and Reconciliation) and 
Exhibit 4 (FTE Resident Assessment).
    Hospitals will be requested to submit data on the number of 
resident FTEs trained during the federal fiscal year to participate in 
the reconciliation payment process. Auditors will be requested to 
submit data on the number of resident FTEs trained by the hospitals in 
a resident FTE assessment summary. An assessment of the hospital data 
ensures that appropriate Medicare regulations and CHGME Payment Program 
guidelines are followed in determining which residents are eligible to 
be claimed for funding. The audit results affect 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 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           26.50         1,590.0
HRSA 99-1 (Reconciliation)......              60               1              60            6.50           390.0
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           12.50           750.0
HRSA 99-5 (Initial and                        60               2             120            0.33            39.6
 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         1,590.0
 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  ..............        8,018.40
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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.

Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019-14752 Filed 7-10-19; 8:45 am]
BILLING CODE 4165-15-P