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[Federal Register: October 23, 2009 (Volume 74, Number 204)]
[
Notices]               
[Page 54823-54824]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr23oc09-47]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-64]

 
Agency Information Collection Activities: Proposed Collection; 

Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

    In compliance with the requirement of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 

Services (CMS) is publishing the following summary of proposed 

collections for public comment. Interested persons are invited to send 

comments regarding this burden estimate or any other aspect of this 

collection of information, including any of the following subjects: (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

[[Page 54824]]

minimize the information collection burden.

    1. Type of Information Collection Request: Extension of the 

currently approved collection; Title of Information Collection: 

Indirect Medical Education (IME) and Supporting Regulations at 42 CFR 

412.105; Direct Graduate Medical Education (GME) and Supporting 

Regulations at 42 CFR 413.75 through 413.83; Use: The information 

collected on interns and residents (IRs) is used by the Medicare Part A 

fiscal intermediaries (FI) and Part A Medicare Administrative 

Contractors (MAC) to verify the number of IRs used in the calculation 

of Medicare program payments for indirect medical education (IME) as 

well as direct graduate medical education (GME). The IR data collected 

from the hospitals is processed through computers at FIs/MACs to 

identify any duplicated time based upon the accumulated time of each 

individual that worked at one or more hospitals. The identification of 

duplicate IRs is necessary to ensure that no IR is counted more than 

once.

    The FIs/MACs use the information collected on IRs to help ensure 

that all program payments for IME and GME are based upon an accurate 

number of FTE-IRs, determined in accordance with Medicare regulations. 

The IR data submitted by the hospitals are used by the FIs/MACs during 

their audits of the providers' cost reports. The audit procedures help 

assure that the information reported was correct, and that IRs who 

should not have been reported by the hospitals (or portions of the IRs' 

time) are not included in the FTE count. The FIs/MACs also use reports 

of duplicate IRs to prevent improper payment for IME and GME. Form 

Number: CMS-R-64 (OMB: 0938-0456); Frequency: Reporting--

Yearly; Affected Public: Business or other for-profit and Not-for-

profit institutions; Number of Respondents: 1,190; Total Annual 

Responses: 1,190; Total Annual Hours: 2,380. (For policy questions 

regarding this collection contact Milton Jacobson at 410-786-7553. For 

all other issues call 410-786-1326.)

    To obtain copies of the supporting statement and any related forms 

for the proposed paperwork collections referenced above, access CMS' 

Web Site at http://www.cms.hhs.gov/PaperworkReductionActof1995, or E-

mail your request, including your address, phone number, OMB number, 

and CMS document identifier, to Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786-1326.

    In commenting on the proposed information collections please 

reference the document identifier or OMB control number. To be assured 

consideration, comments and recommendations must be submitted in one of 

the following ways by December 22, 2009:

    1. Electronically. You may submit your comments electronically to 

http://www.regulations.gov. Follow the instructions for ``Comment or 

Submission'' or ``More Search Options'' to find the information 

collection document(s) accepting comments.

    2. By regular mail. You may mail written comments to the following 

address: CMS, Office of Strategic Operations and Regulatory Affairs, 

Division of Regulations Development, Attention: Document Identifier/OMB 

Control Number, Room C4-26-05, 7500 Security Boulevard, Baltimore, 

Maryland 21244-1850.

    Dated: October 16, 2009.

Michelle Shortt,

Director, Regulations Development Group, Office of Strategic Operations 

and Regulatory Affairs.

[FR Doc. E9-25572 Filed 10-22-09; 8:45 am]

BILLING CODE 4120-01-P