[Federal Register Volume 84, Number 193 (Friday, October 4, 2019)]
[Notices]
[Pages 53160-53161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21680]


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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, Revision

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

ACTION: Notice.

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SUMMARY: In compliance with of the Paperwork Reduction Act of 1995, 
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 November 
4, 2019.

ADDRESSES: Submit your comments, including the ICR 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 Lisa Wright-Solomon, the 
HRSA Information Collection Clearance Officer at [email protected] or 
call (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 Revision

    Abstract: In 1999, the Children's Hospitals Graduate Medical 
Education (CHGME) Payment Program was established by section 4 of the 
Healthcare Research and Quality Act of 1999 (Pub. L. 106-129) and most 
recently amended by the Dr. Benjy Frances Brooks Children's Hospital 
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 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.
    A 60-day notice was published in the Federal Register on July 11, 
2019, vol. 84, No. 133; pp. 33079-80. There were no public comments.
    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 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 
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 impact final payments made by 
the CHGME Payment Program to all eligible children's hospitals.
    The previously approved information collection included 25 separate 
forms. Based on feedback from current CHGME Payment Program grantees 
and a current CHGME resident FTE assessment contractor, this request 
now includes 30 separate forms. Previously these five additional forms 
were combined. Specifically:
     HRSA 99-2 is now HRSA 99-2 (Initial) and HRSA 99-2 
(Reconciliation);
     Application Cover Letter (Initial and Reconciliation) is 
now Application Cover Letter (Initial) and Application Cover Letter 
(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).
    Based on this same feedback, the burden hours for a number of forms 
was revised which resulted in an increase in burden hours from 8,018.40 
hours as published in the 60-day Federal Register notice to 8,197.80 
hours.
    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.

[[Page 53161]]



                                    Total Estimated Annualized Burden--Hours
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                                                     Number of                    Average burden
   Total estimated annualized        Number of     responses per       Total       per response    Total burden
     burden hours: form name        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            2.50           150.0
 (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            9.67           580.2
HRSA 99-2 (Reconciliation)......              60               1              60            2.84           170.4
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            1.83           219.6
 Reconciliation)................
Exhibit 4 (Initial and                        60               2             120            0.33            39.6
 Reconciliation)................
FTE Resident Assessment Cover                 30               2              60            0.25            15.0
 Letter (FTE Resident
 Assessment)....................
Conversation Record (FTE                      30               2              60            1.00            60.0
 Resident Assessment)...........
Exhibit C (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit F (FTE Resident                       30               2              60            1.50            90.0
 Assessment)....................
Exhibit N (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit O(1) (FTE Resident                    30               2              60            3.50           210.0
 Assessment)....................
Exhibit O(2) (FTE Resident                    30               2              60           30.00         1,800.0
 Assessment)....................
Exhibit P (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit P(2) (FTE Resident                    30               2              60            3.50           210.0
 Assessment)....................
Exhibit S (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit T (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit T(1) (FTE Resident                    30               2              60            0.25            15.0
 Assessment)....................
Exhibit 1 (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit 2 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
Exhibit 3 (FTE Resident                       30               2              60            3.50           210.0
 Assessment)....................
Exhibit 4 (FTE Resident                       30               2              60            0.33            19.8
 Assessment)....................
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    Total.......................            * 90  ..............            * 90  ..............        8,197.80
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* The total is 90 because the same hospitals and auditors are completing the forms.


Maria G. Button,
Director, Division of the Executive Secretariat.
[FR Doc. 2019-21680 Filed 10-3-19; 8:45 am]
 BILLING CODE 4165-15-P