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, 33079-33080 [2019-14752]

Download as PDF Federal Register / Vol. 84, No. 133 / Thursday, July 11, 2019 / Notices ACHDNC provides advice and recommendations to the Secretary of HHS (Secretary) on the development of newborn screening activities, technologies, policies, guidelines, and programs for effectively reducing morbidity and mortality in newborns and children having, or at risk for, heritable disorders. ACHDNC’s recommendations regarding inclusion of additional conditions for screening, following adoption by the Secretary, are evidence-informed preventive health services provided for in the comprehensive guidelines supported by HRSA through the Recommended Uniform Screening Panel (RUSP) pursuant to section 2713 of the Public Health Service Act (42 U.S.C. 300gg– 13). Under this provision, nongrandfathered group health plans and health insurance issuers offering group or individual health insurance are required to provide insurance coverage without cost-sharing (a co-payment, coinsurance, or deductible) for preventive services for plan years (i.e., policy years) beginning on or after the date that is one year from the Secretary’s adoption of the condition for screening. During the August 1–2, 2019, meeting, ACHDNC will hear from experts in the fields of public health, medicine, heritable disorders, rare disorders, and newborn screening. Agenda items include: (1) Review of the RUSP condition nomination and evidence review process; (2) updates on screening methodologies; (3) rare disease registries; (4) linking data resources; and (5) workgroup updates. Agenda items are subject to changes as priorities dictate. The final meeting agenda will be available on ACHDNC’s website: https://www.hrsa.gov/advisorycommittees/heritable-disorders/ index.html. Information about ACHDNC, a roster of members, as well as past meeting summaries are also available on the ACHDNC website. Members of the public will have the opportunity to provide comments. In addition to general public comments, the ACHDNC is soliciting specific feedback at this meeting from the public on processes for nominating conditions to the RUSP condition and conducting evidence reviews. There will be time reserved on the agenda for public participants to provide comments on the RUSP condition nomination and evidence review process. Requests to offer oral comments will be accepted in the order they are requested and may be limited as time allows. Public participants may also submit written statements as further described below. To submit written comments or request time for an oral comment at the meeting, jspears on DSK30JT082PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 17:26 Jul 10, 2019 Jkt 247001 please register online by 12:00 p.m. ET on July 26, 2019. Visit the ACHDNC website for information on registration https://www.hrsa.gov/advisorycommittees/heritable-disorders/ index.html. Individuals associated with groups or who plan to provide comments on similar topics may be asked to combine their comments and present them through a single representative. No audiovisual presentations are permitted. Written comments should identify the individual’s name, address, email, telephone number, professional or organization affiliation, background or area of expertise (e.g., parent, family member, researcher, clinician, public health, etc.), and the topic/subject matter. Individuals who plan to attend and need special assistance or another reasonable accommodation should notify Alaina Harris, at the contact information listed above, at least 10 business days prior to the meeting. Since this meeting occurs in a federal government building, attendees must go through a security check to enter the building. Non-U.S. Citizen attendees must notify HRSA of their planned attendance at least 20 business days prior to the meeting in order to facilitate their entry into the building. All attendees are required to present government-issued identification prior to entry. Maria G. Button, Director, Division of the Executive Secretariat. [FR Doc. 2019–14758 Filed 7–10–19; 8:45 am] BILLING CODE 4165–15–P 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 Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Notice. AGENCY: 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 SUMMARY: PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 33079 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 paperwork@hrsa.gov 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 paperwork@hrsa.gov 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. E:\FR\FM\11JYN1.SGM 11JYN1 33080 Federal Register / Vol. 84, No. 133 / Thursday, July 11, 2019 / Notices 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 Number of respondents Form name Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours Application Cover Letter (Initial and Reconciliation) ............ HRSA 99 (Initial and Reconciliation) ................................... HRSA 99–1 (Initial) .............................................................. HRSA 99–1 (Reconciliation) ................................................ HRSA 99–1 (Supplemental) (FTE Resident Assessment) .. HRSA 99–2 (Initial) .............................................................. HRSA 99–2 (Reconciliation) ................................................ HRSA 99–4 (Reconciliation) ................................................ HRSA 99–5 (Initial and Reconciliation) ............................... CFO Form Letter (Initial and Reconciliation) ....................... Exhibit 2 (Initial and Reconciliation) .................................... Exhibit 3 (Initial and Reconciliation) .................................... Exhibit 4 (Initial and Reconciliation) .................................... FTE Resident Assessment Cover Letter (FTE Resident Assessment) ..................................................................... Conversation Record (FTE Resident Assessment) ............. Exhibit C (FTE Resident Assessment) ................................ Exhibit F (FTE Resident Assessment) ................................ Exhibit N (FTE Resident Assessment) ................................ Exhibit O(1) (FTE Resident Assessment) ........................... Exhibit O(2) (FTE Resident Assessment) ........................... Exhibit P (FTE Resident Assessment) ................................ Exhibit P(2) (FTE Resident Assessment) ............................ Exhibit S (FTE Resident Assessment) ................................ Exhibit T (FTE Resident Assessment) ................................ Exhibit T(1) (FTE Resident Assessment) ............................ Exhibit 1 (FTE Resident Assessment) ................................. Exhibit 2 (FTE Resident Assessment) ................................. Exhibit 3 (FTE Resident Assessment) ................................. Exhibit 4 (FTE Resident Assessment) ................................. 60 60 60 60 30 60 60 60 60 60 60 60 60 2 2 1 1 2 1 1 1 2 2 2 2 2 120 120 60 60 60 60 60 60 120 120 120 120 120 0.33 0.33 26.50 6.50 3.67 11.33 3.67 12.50 0.33 0.33 0.33 0.33 0.33 39.6 39.6 1,590.0 390.0 220.2 679.8 220.2 750.0 39.6 39.6 39.6 39.6 39.6 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 60 60 60 60 60 60 60 60 60 60 60 60 60 60 60 60 0.33 3.67 3.67 3.67 3.67 3.67 26.5 3.67 3.67 3.67 3.67 3.67 0.33 0.33 0.33 0.33 19.8 220.2 220.2 220.2 220.2 220.2 1,590.0 220.2 220.2 220.2 220.2 220.2 19.8 19.8 19.8 19.8 Total .............................................................................. * 90 ........................ * 90 ........................ 8,018.40 jspears on DSK30JT082PROD with NOTICES * 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 VerDate Sep<11>2014 17:26 Jul 10, 2019 Jkt 247001 the quality, utility, and clarity of the information to be collected, and (4) the use of automated collection techniques or other forms of information PO 00000 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 Frm 00030 Fmt 4703 Sfmt 9990 E:\FR\FM\11JYN1.SGM 11JYN1

Agencies

[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.

-----------------------------------------------------------------------

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
----------------------------------------------------------------------------------------------------------------
                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
----------------------------------------------------------------------------------------------------------------
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)....................
                                 -------------------------------------------------------------------------------
    Total.......................            * 90  ..............            * 90  ..............        8,018.40
----------------------------------------------------------------------------------------------------------------
* 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