Agency Information Collection Activities: Proposed Collection: Public Comment Request Information Collection Request Title: Initial and Reconciliation Application Forms to Report Graduate Medical Education Data and Full-Time Equivalent (FTE) Residents Trained by Hospitals Participating in the Children's Hospitals Graduate Medical Education Payment Program; and FTE Resident Assessment Forms to Report FTE Residents Trained by Organizations Participating in the Children's Hospitals and Teaching Health Center Graduate Medical Education Programs, OMB No. 0915-0247-Revision, 48182-48186 [2022-16898]
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48182
Federal Register / Vol. 87, No. 151 / Monday, August 8, 2022 / Notices
Information Collections Open for
Comment
FEDERAL MARITIME COMMISSION
Agency Information Collection
Activities: 60-Day Public Comment
Request
Federal Maritime Commission.
Notice and request for
comments.
AGENCY:
ACTION:
As part of our continuing
effort to reduce paperwork and
respondent burden, and as required by
the Paperwork Reduction Act of 1995,
the Federal Maritime Commission (FMC
or Commission) invites comments on a
new data collection concerning
containerized vessel imports and
exports to and from the United States.
DATES: Written comments must be
submitted on or before October 7, 2022.
ADDRESSES: Submit comments for the
proposed information collection
requests to Lucille L. Marvin, Managing
Director at email: omd@fmc.gov. The
FMC will summarize any comments
received in response to this notice in a
subsequent notice and include them in
its information collection submission to
OMB for approval.
FOR FURTHER INFORMATION CONTACT:
Copies of the information collections
and instructions, or copies of any
comments received, may be obtained by
contacting Tara Nielsen at 202–523–
5800 or omd@fmc.gov.
SUPPLEMENTARY INFORMATION:
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SUMMARY:
Request for Comments
The Commission, as part of its
continuing effort to reduce paperwork
and respondent burden, invites the
general public and other Federal
agencies to comment on the continuing
information collections listed in this
notice, as required by the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501
et seq.).
Comments submitted in response to
this notice will be included or
summarized in our request for Office of
Management and Budget (OMB)
approval of the relevant information
collection. All comments are part of the
public record and subject to disclosure.
Please do not include any confidential
or inappropriate material in your
comments. We invite 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.
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Title: Container vessel imports and
exports.
OMB Approval Number: 3072–XXXX.
Abstract: The Ocean Shipping Reform
Act of 2022 (OSRA 2022) includes the
following language, ‘‘The Federal
Maritime Commission shall publish on
its website a calendar quarterly report
that describes the total import and
export tonnage and the total loaded and
empty 20-foot equivalent units per
vessel (making port in the United States,
including any territory or possession of
the United States) operated by each
ocean common carrier covered under
this chapter. Ocean common carriers
under this chapter shall provide to the
Commission all necessary information,
as determined by the Commission, for
completion of this report.’’ 46 U.S.C.
41110. The FMC will request
information on tonnage and 20-foot
equivalent units from each identified
common carrier on a monthly basis. The
information will be used to compile and
publish a quarterly report on total
import and export tonnage and total
loaded and empty 20-foot equivalent
units per vessel operated by common
carriers. The universe will be carriers
that transport 1,500 or more 20-foot
equivalent units per month (total across
imports and exports, regardless of
whether they are laden or empty) in or
out of U.S. ports in international
common carriage. The Commission
estimates that approximately 70 of the
154 currently registered vessel-operating
common carriers transport 1,500 or
more 20-foot equivalent units per
month, totaling over 99 percent of
imported and exported containerized
cargo.
Current Actions: This information
being submitted contains a new data
collection.
Type of Review: New data collection.
Needs and Uses: The Commission
will use collected data to publish a
quarterly report as directed by OSRA
2022.
Frequency: This information will be
collected monthly.
Type of Respondents: The universe
will be carriers who transport 1,500 20foot equivalent units or more per month
(total across imports and exports,
regardless of whether they are laden) in
or out of the U.S. in international
common carriage.
Number of Annual Respondents: The
Commission estimates an annual
respondent universe of 70. The
Commission expects the estimated
number of annual respondents to
remain at 70 in the future.
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Estimated Time Per Response: The
time per response is estimated at 80
person-hours for reporting.
Total Annual Burden: For the 70
annual respondents, the burden is
calculated as 70 × 80 hours = 5,600
hours.
William Cody,
Secretary.
[FR Doc. 2022–16891 Filed 8–5–22; 8:45 am]
BILLING CODE 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: Initial and
Reconciliation Application Forms to
Report Graduate Medical Education
Data and Full-Time Equivalent (FTE)
Residents Trained by Hospitals
Participating in the Children’s
Hospitals Graduate Medical Education
Payment Program; and FTE Resident
Assessment Forms to Report FTE
Residents Trained by Organizations
Participating in the Children’s
Hospitals and Teaching Health Center
Graduate Medical Education Programs,
OMB No. 0915–0247—Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects 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 October 7, 2022.
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 Samantha Miller, the acting
SUMMARY:
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Federal Register / Vol. 87, No. 151 / Monday, August 8, 2022 / Notices
HRSA Information Collection Clearance
Officer at (301) 443–9094.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the ICR title
for reference.
Information Collection Request Title:
Initial and Reconciliation Application
Forms to Report Graduate Medical
Education Data and FTE Residents
Trained by Children’s Hospitals
Participating in the Children’s Hospitals
Graduate Medical Education (CHGME)
Payment Program; and FTE Resident
Assessment Forms to Report FTE
Residents Trained by Organizations
Participating in the Children’s Hospitals
and Teaching Health Center Graduate
Medical Education (THCGME)
Programs, OMB No. 0915–0247—
Revision
Abstract: The Healthcare Research
and Quality Act of 1999 (Pub. L. 106–
129) established the CHGME Payment
Program, Section 340E of the Public
Health Service Act, most recently
amended by the Dr. Benjy Frances
Brooks Children’s Hospital Graduate
Medical Education (GME) Support
Reauthorization Act of 2018 (Pub. L.
115–241). In 2010, the Patient
Protection and Affordable Care Act
(Pub. L. 111–148) established the
THCGME Program, Section 340H of the
Public Health Service Act, most recently
amended by the Consolidated
Appropriations Act, 2021 (Pub. L. 116–
260). The American Rescue Plan Act of
2021 (Pub. L. 117–2) provided
additional funding for the THCGME
Program.
The CHGME Payment Program and
the THCGME Program provide federal
funding to support GME programs that
train medical and dental residents.
Specifically, the CHGME Payment
Program supports residency programs at
freestanding children’s hospitals that
train residents in pediatric, pediatric
subspecialty, and non-pediatric care.
The THCGME Program supports
training for primary care residents
(including residents in family medicine,
internal medicine, pediatrics, internal
medicine-pediatrics, obstetrics and
gynecology, psychiatry, general
dentistry, pediatric dentistry, and
geriatrics) in community-based
ambulatory patient care settings.
Children’s hospitals and teaching
health centers funded by HRSA’s
CHGME and THCGME programs,
respectively, are required to report the
number of FTE residents trained during
the federal fiscal year. Fiscal
intermediaries are contracted by HRSA
to carry out an assessment of FTE
resident counts reflected in
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participating children’s hospitals and
teaching health centers applications to
determine any changes to the resident
FTE counts initially reported. Fiscal
intermediaries audit the data reported
by the children’s hospitals and the
teaching health centers and report the
verified FTE resident counts to HRSA.
An assessment of the children’s hospital
and teaching health center data ensures
that applicable Medicare regulations
and HRSA program requirements are
followed when determining the number
of full-time equivalent residents eligible
for funding.
HRSA plans to submit an Information
Collection Request for several reasons.
First, the current OMB clearance for the
CHGME Payment Program application
and FTE resident assessment forms and
exhibits expires 01/31/2023. Second, in
addition to using the FTE resident
assessment forms and exhibits for the
CHGME Payment Program audits, HRSA
plans to use CHGME FTE resident
assessment forms and exhibits for
THCGME Program audits. HRSA
combined the FTE resident assessments
of participating children’s hospitals and
teaching health centers into one audit
contract to reduce costs to the federal
government and to facilitate the fiscal
intermediary’s review of those residents
training in both children’s hospitals and
teaching health centers funded by
HRSA. As part of the FTE resident
assessment process, the fiscal
intermediary must ensure resolution of
overlaps identified in the FTE residents
reported between CHGME children’s
hospitals and the THCGME teaching
health centers. The overlap reports
indicate when an FTE resident is
claimed for CHGME payment during the
same period of training time claimed for
reimbursement from any other source of
federal GME funding, to include the
THCGME Program. The use of the same
FTE resident assessment forms and
exhibits during the audit of both the
children’s hospitals and teaching health
centers is more efficient for fiscal
intermediaries to complete that perform
both CHGME and THCGME audits, and
for HRSA to review. Lastly, HRSA is
proposing changes to the current
CHGME Payment Program application
and the FTE assessment forms and
exhibits to be used for the CHGME
Payment Program and THCGME
Program. The changes are only proposed
to the HRSA 99–1 form (also known as
Exhibit O(2)), the HRSA 99–5 form, and
the FTE resident assessment exhibits.
All other CHGME Payment Program
application and FTE resident
assessment forms are the same as
currently approved. The changes
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48183
described require OMB approval and are
as follows:
1. CHGME Payment Program
Application Instructions and Guidance:
Update initial and reconciliation
application instructions and guidance.
Some of the examples provided in the
instructions and guidance reference the
FY 2010 application cycle and related
dates. HRSA will update these dates to
FY 2020 or more information that is
relevant to applicants.
2. CHGME Payment Program
Application HRSA 99–1 form: Revise
Lines 4.05a, 5.05a, and 6.05a of the
HRSA 99–1 form to include language
referencing additional add-ons to the
cap.
To the extent that it is reasonable and
feasible, HRSA adheres to Centers for
Medicare & Medicaid Services (CMS)
regulations to ease the burden for
children’s teaching hospitals
participating in the CHGME Payment
Program that must also comply with
CMS regulations. Specifically, per 66 FR
12940 (March 1, 2001) and 66 FR 37980
(July 20, 2001) the CHGME Payment
Program follows the regulations
provided at 42 CFR 413.86(f), (g), (h),
and (i), which are now reflected in 42
CFR 413.79, regarding the application of
the FTE resident caps as described in
Section 1886(h) of the Social Security
Act.
The CHGME Payment Program
application forms have been revised to
accommodate the final rule with
comment period issued by CMS on
December 27, 2021 (86 FR 73416). CMS
issued the final rule to implement
policies based on legislative changes
relative to Medicare GME for teaching
hospitals provided by Sections 126, 127,
and 131 of the Consolidated
Appropriations Act (CAA), 2021 (Pub.
L. 116–260).
The final rule implements Sections
126, 127, and 131 of the CAA affecting
Medicare direct GME and indirect
medical education (IME) payments to
teaching hospitals. Section 126(a) of the
CAA amended section 1886(h) of the
Social Security Act by adding a new
section 1886(h)(9) of the Social Security
Act requiring the distribution of
additional residency positions to
qualifying hospitals. Section 127 of the
CAA amended section 1886(h)(4)(H)(iv)
of the Social Security Act to specify that
in the case of a hospital not located in
a rural area that established or
establishes a medical residency training
program (or rural track) in a rural area,
the hospital, and each such hospital
located in a rural area that participates
in such a training, is allowed to receive
an adjustment to its FTE resident limit.
Section 131 of the CAA also amended
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section 1886(h)(4)(H)(i) of the Social
Security Act to provide an opportunity
for hospitals that meet certain criteria
and that have very small FTE resident
caps to replace those caps if the
Secretary determines the hospital begins
training residents in a new program
beginning on or after enactment
(December 27, 2020) and before 5 years
after enactment (December 26, 2025).
HRSA proposes to revise lines 4.05a,
5.05a, and 6.05a of the HRSA 99–1 form,
which currently provide: ‘‘Addition (to
the cap) for the unweighted resident
FTE count for allopathic and
osteopathic programs due to § 5503 of
ACA.’’ The revised language in lines
4.05a, 5.05a, and 6.05a of the HRSA 99–
1 form would provide: ‘‘Addition (to the
cap) for the unweighted FTE resident
count for allopathic and osteopathic
programs due to § 5503 of ACA, § 126,
§ 127, and/or § 131 of the CAA.’’
3. CHGME Payment Program
Application HRSA 99–5 form: Remove
items on the initial/reconciliation
application form HRSA 99–5 form
checklist.
HRSA proposes to remove ‘‘(1) a
computer disk containing completed
HRSA forms; and (2) a copy of the
hospital’s completed application
package’’. A computer disk of the
completed HRSA application forms and
a copy of the completed application
package are no longer needed following
the CHGME Payment Program
application’s integration into HRSA’s
Electronic Handbooks. The application
forms and supporting documentation
are currently provided electronically via
the Electronic Handbooks Tasks and
Reports functions.
4. Revisions to the existing FTE
resident assessment exhibits for use by
both the CHGME Payment Program and
THCGME Program:
• Exhibit F—CHGME Fiscal
Intermediary Introductory Request
Letter to Hospital: This letter introduces
the fiscal intermediary to the hospital
and teaching health center and is a
formal request to the hospital and
teaching health center for
documentation to support FTE residents
claimed on the hospital’s and teaching
health center’s application. HRSA
proposes revising the title and content
of the letter to provide clarity, reduce
errors, and add language inclusive of
teaching health centers. The revised title
will be Fiscal Intermediary Introductory
Request Letter to Teaching Provider.
• Exhibit N—Points for Future
CHGME Auditors: This form facilitates
continuity of communication from one
fiscal intermediary to the next and helps
HRSA and fiscal intermediaries track
and follow up any issues with each
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hospital in a timely manner. HRSA
proposes revising the title and content
to include an area for points from prior
years and to add language inclusive of
teaching health centers. The revised title
will be Points for Future Audits.
• Exhibit S—Final Medicare
Administrative Contractor (MAC)
Letter/‘‘Top Memorandum’’: This letter
is sent from the fiscal intermediary to
the MAC of each children’s hospital and
any teaching health center affiliated
hospital following completion of the
audit. This letter is to notify the MAC
of the completion of the resident FTE
assessment for each respective
children’s hospital or teaching health
center affiliated hospital and to provide
a summary report of the audit findings
to be incorporated into the Medicare
cost report, if applicable. HRSA has
proposed revising the title and content
to include the notification to the MAC
of the identification of an overlap and
the release of FTE resident(s) by the
children’s hospital or a teaching health
center affiliated hospital to resolve an
overlap, if applicable. The revised title
will be Final MAC Adjustment and
Overlap Resolution Letter.
5. Addition of one FTE resident
assessment exhibit for use by both the
CHGME Payment Program and
THCGME Program:
HRSA proposes to add Exhibit E—
Fiscal Intermediary Introductory
Request Letter to MAC which would
request hospital information prior to the
commencement of the audit. This is a
document that the fiscal intermediaries
currently use internally and include in
their own working papers. HRSA
proposes to have this document
included as part of the FTE resident
assessment report submitted by the
fiscal intermediaries to HRSA.
• This letter introduces the fiscal
intermediary to the MAC and is a formal
request to the MAC for documentation
to support FTE residents claimed on the
children’s hospital’s application and the
teaching health center’s affiliated
hospital Medicare Cost Report.
6. Deletion of one FTE resident
assessment exhibit previously used by
the CHGME Payment Program.
HRSA proposes to discontinue the use
of the FTE Resident Assessment Cover
Letter, which is no longer needed to
share information from the fiscal
intermediary. The Conversation Record
exhibit currently provides the same
information.
• This letter includes a brief
description of the audit that was
performed and for which years, as well
as a list of the documents included for
review by the CHGME Payment
Program.
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Need and Proposed Use of the
Information: Information collected will
be used during the CHGME Payment
Program initial application and the
reconciliation process for both the
CHGME Payment Program and
THCGME Program to determine the
amount of graduate medical education
payments to be distributed to
participating children’s hospitals and
teaching health centers. The CHGME
Payment Program initial application
forms and the FTE resident assessment
forms for both the CHGME Payment
Program and THCGME Program will
also be used to determine CHGME
Payment Program and THCGME
Program eligibility and compliance with
the programs’ requirements.
Likely Respondents: The CHGME
Payment Program applicants, CHGME
Payment Program participants, and
fiscal intermediaries auditing data
submitted by the participating
children’s hospitals and teaching health
centers.
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. The
CHGME participating children’s
hospitals report their FTE residents
using forms and exhibits approved by
OMB (#0915–0247). The THCGME
participating teaching health centers
report their FTE residents using forms,
tools and exhibits approved by OMB
(#0915–0342 and #0915–0367). The FTE
resident assessment forms and exhibits
currently approved for use by the
CHGME Payment Program under OMB
clearance #0915–0247 will be reviewed
or completed by the fiscal
intermediaries during the audit of the
FTE residents reported by the teaching
health centers participating in the
THCGME Program. The FTE resident
assessment forms and exhibits are
submitted to HRSA for approval. The
fiscal intermediaries currently
reviewing or completing the forms and
exhibits to perform the audit of the 60
children’s hospitals will utilize the
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forms and exhibits during the audit of
60 teaching health centers. The
increased number of responses from the
fiscal intermediaries related to the
additional 60 THCGME audits
performed results in an increase of
approximately 2,000 burden hours.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Average
burden per
response
(in hours)
Application Cover Letter (CHGME
Initial and Reconciliation).
HRSA 99 Form (CHGME Initial and
Reconciliation).
HRSA 99–1 Form (CHGME Initial) ..
HRSA 99–1 Form (CHGME Reconciliation).
HRSA 99–1 (Supplemental)
(CHGME FTE Resident Assessment Only).
HRSA 99–2 Form (CHGME Initial) ..
HRSA 99–2 Form (CHGME Reconciliation).
HRSA 99–4 Form (CHGME Reconciliation).
HRSA 99–5 Form (Initial and Reconciliation).
CFO Form Letter (CHGME Initial
and Reconciliation).
Exhibit 2 (CHGME Initial and Reconciliation).
Exhibit 3 (CHGME Initial and Reconciliation).
Exhibit 4 (CHGME Initial and Reconciliation).
Conversation Record (CHGME FTE
Resident Assessment Only).
Exhibit C (CHGME and THCGME
FTE Resident Assessment).
Exhibit E (CHGME and THCGME
FTE Resident Assessment).
Exhibit F (CHGME and THCGME
FTE Resident Assessment).
Exhibit N (CHGME and THCGME
FTE Resident Assessment).
Exhibit O(1) (CHGME and
THCGME FTE Resident Assessment).
Exhibit O(2) (HRSA 99–1) (CHGME
FTE Resident Assessment Only).
Exhibit P (Reconciliation Tool)
(CHGME and THCGME FTE
Resident Assessment).
Exhibit P(2) (CHGME and THCGME
FTE Resident Assessment).
Exhibit S (CHGME and THCGME
FTE Resident Assessment).
Exhibit T (CHGME FTE Resident
Assessment Only).
Exhibit T(1) (CHGME FTE Resident
Assessment Only).
Exhibit 1 (CHGME FTE Resident
Assessment Only).
Exhibit 2 (CHGME FTE Resident
Assessment Only).
Exhibit 3 (CHGME FTE Resident
Assessment Only).
Exhibit 4 (CHGME FTE Resident
Assessment Only).
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
60 .....................................................
1
1
60 .....................................................
60 .....................................................
26.50
6.50
1,590.0
390.0
30 .....................................................
2
60 .....................................................
3.67
220.2
60 .....................................................
60 .....................................................
1
1
60 .....................................................
60 .....................................................
11.33
3.67
679.8
220.2
60 .....................................................
1
60 .....................................................
12.50
750.0
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
2
120 ...................................................
0.33
39.6
60 .....................................................
2
120 ...................................................
0.33
39.6
30 .....................................................
2
60 .....................................................
3.67
220.2
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
2
60 .....................................................
26.5
1590.0
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
4
120 ...................................................
3.67
440.4
30 .....................................................
2
60 .....................................................
3.67
220.2
30 .....................................................
2
60 .....................................................
3.67
220.2
30 .....................................................
2
60 .....................................................
0.33
19.8
30 .....................................................
2
60 .....................................................
0.33
19.8
30 .....................................................
2
60 .....................................................
0.33
19.8
30 .....................................................
2
60 .....................................................
0.33
19.8
........................
180 (60 children’s hospitals applications, 60 CHGME audits and 60
THCGME audits) **.
........................
*** 9,980.40
90 (60 children’s hospitals and 30
fiscal intermediaries *.
Total responses
Total burden
hours
Number of respondents
Total ..........................................
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Number of
responses per
respondent
Form name
* The total respondents are 90 because children’s hospitals (60) and fiscal intermediaries (30) are completing the forms.
** The total responses are 180 because children’s hospitals (60) and fiscal intermediaries for the CHGME audits (60) and the THCGME audits (60) are completing
the forms.
*** The increase of 2,000 burden hours is due to the additional 60 THCGME audits.
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
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proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
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the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
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or other forms of information
technology to minimize the information
collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022–16898 Filed 8–5–22; 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: DoNation
General Workplace Campaign
Scorecard, 0906–XXXX—New
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for the opportunity for
public comment on proposed data
collection projects 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 September 7,
2022.
SUMMARY:
Submit your comments to
paperwork@hrsa.gov or by mail to the
HRSA Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, Maryland 20857.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
ADDRESSES:
submitted to OMB for review, email
Samantha Miller, the acting HRSA
Information Collection Clearance Officer
at paperwork@hrsa.gov or call (301)
443–9094.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the ICR title
for reference.
Information Collection Request Title:
DoNation General Workplace Campaign
Scorecard OMB No. 0906–XXXX–New.
Abstract: HRSA’s ‘DoNation’
Campaign for Organ Donation will enlist
the help of America’s workplaces to
increase the number of registered organ,
eye, and tissue donors by hosting
awareness, education, outreach, and
donor registration events in their
companies, workplaces, and
communities. This campaign now
incorporates HRSA’s Hospital
Campaign, which encourages America’s
medical facilities and hospitals to
promote organ, eye, and tissue donor
registrations to streamline
communications, better leverage
internal and external resources, and
combine campaign efforts under one
unified and identifiable visual brand
and name. A scorecard identifies
activities that all participants can
implement and assigns points to each
activity. Participants that earn a certain
number of points annually will be
recognized by HRSA and other national
organizations that support the
campaign’s mission. HRSA intends to
create an electronic version of the
scorecard that will be user-friendly and
will collect information from America’s
workplaces regarding their donor
registration and outreach activities. The
scorecard will provide HRSA with data
throughout the campaign year.
Need and Proposed Use of the
Information: There is a substantial
imbalance in the United States between
the number of people whose life
depends on an organ transplant
(currently more than 107,000) and the
annual number of organ donors
(approximately 39,000 living and
deceased donors since January 2020). In
response to the need for increased
donation, HRSA conducts public
outreach initiatives to encourage the
American public to enroll in their state
donor registry as future organ, eye, and
tissue donors.
The scorecard motivates and
facilitates participation in the campaign,
provides the basis for rewarding
participants for their accomplishments,
and enables HRSA to measure and
evaluate the campaign process and
outcome. The scorecard also enables
HRSA to make data-based decisions and
improvements for subsequent
campaigns.
Likely Respondents: Community
development and public relations staff
of organ procurement and other
donation organizations, hospital and
workplace staff and/or leadership, such
as human resources or public relations/
communications professionals and other
staff members, and/or volunteers who
work with workplaces and organizations
on organ donation initiatives.
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
khammond on DSKJM1Z7X2PROD with NOTICES
Form name
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Activity Scorecard (electronic PDF) .....................................
1,400
1
1,400
.25
350
Total ..............................................................................
1,400
1
1,400
.25
350
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21:34 Aug 05, 2022
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]]>Agencies
[Federal Register Volume 87, Number 151 (Monday, August 8, 2022)]
[Notices]
[Pages 48182-48186]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-16898]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request Information Collection Request Title: Initial
and Reconciliation Application Forms to Report Graduate Medical
Education Data and Full-Time Equivalent (FTE) Residents Trained by
Hospitals Participating in the Children's Hospitals Graduate Medical
Education Payment Program; and FTE Resident Assessment Forms to Report
FTE Residents Trained by Organizations Participating in the Children's
Hospitals and Teaching Health Center Graduate Medical Education
Programs, OMB No. 0915-0247--Revision
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects 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 October 7,
2022.
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 Samantha Miller,
the acting
[[Page 48183]]
HRSA Information Collection Clearance Officer at (301) 443-9094.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Initial and Reconciliation
Application Forms to Report Graduate Medical Education Data and FTE
Residents Trained by Children's Hospitals Participating in the
Children's Hospitals Graduate Medical Education (CHGME) Payment
Program; and FTE Resident Assessment Forms to Report FTE Residents
Trained by Organizations Participating in the Children's Hospitals and
Teaching Health Center Graduate Medical Education (THCGME) Programs,
OMB No. 0915-0247--Revision
Abstract: The Healthcare Research and Quality Act of 1999 (Pub. L.
106-129) established the CHGME Payment Program, Section 340E of the
Public Health Service Act, most recently amended by the Dr. Benjy
Frances Brooks Children's Hospital Graduate Medical Education (GME)
Support Reauthorization Act of 2018 (Pub. L. 115-241). In 2010, the
Patient Protection and Affordable Care Act (Pub. L. 111-148)
established the THCGME Program, Section 340H of the Public Health
Service Act, most recently amended by the Consolidated Appropriations
Act, 2021 (Pub. L. 116-260). The American Rescue Plan Act of 2021 (Pub.
L. 117-2) provided additional funding for the THCGME Program.
The CHGME Payment Program and the THCGME Program provide federal
funding to support GME programs that train medical and dental
residents. Specifically, the CHGME Payment Program supports residency
programs at freestanding children's hospitals that train residents in
pediatric, pediatric subspecialty, and non-pediatric care. The THCGME
Program supports training for primary care residents (including
residents in family medicine, internal medicine, pediatrics, internal
medicine-pediatrics, obstetrics and gynecology, psychiatry, general
dentistry, pediatric dentistry, and geriatrics) in community-based
ambulatory patient care settings.
Children's hospitals and teaching health centers funded by HRSA's
CHGME and THCGME programs, respectively, are required to report the
number of FTE residents trained during the federal fiscal year. Fiscal
intermediaries are contracted by HRSA to carry out an assessment of FTE
resident counts reflected in participating children's hospitals and
teaching health centers applications to determine any changes to the
resident FTE counts initially reported. Fiscal intermediaries audit the
data reported by the children's hospitals and the teaching health
centers and report the verified FTE resident counts to HRSA. An
assessment of the children's hospital and teaching health center data
ensures that applicable Medicare regulations and HRSA program
requirements are followed when determining the number of full-time
equivalent residents eligible for funding.
HRSA plans to submit an Information Collection Request for several
reasons. First, the current OMB clearance for the CHGME Payment Program
application and FTE resident assessment forms and exhibits expires 01/
31/2023. Second, in addition to using the FTE resident assessment forms
and exhibits for the CHGME Payment Program audits, HRSA plans to use
CHGME FTE resident assessment forms and exhibits for THCGME Program
audits. HRSA combined the FTE resident assessments of participating
children's hospitals and teaching health centers into one audit
contract to reduce costs to the federal government and to facilitate
the fiscal intermediary's review of those residents training in both
children's hospitals and teaching health centers funded by HRSA. As
part of the FTE resident assessment process, the fiscal intermediary
must ensure resolution of overlaps identified in the FTE residents
reported between CHGME children's hospitals and the THCGME teaching
health centers. The overlap reports indicate when an FTE resident is
claimed for CHGME payment during the same period of training time
claimed for reimbursement from any other source of federal GME funding,
to include the THCGME Program. The use of the same FTE resident
assessment forms and exhibits during the audit of both the children's
hospitals and teaching health centers is more efficient for fiscal
intermediaries to complete that perform both CHGME and THCGME audits,
and for HRSA to review. Lastly, HRSA is proposing changes to the
current CHGME Payment Program application and the FTE assessment forms
and exhibits to be used for the CHGME Payment Program and THCGME
Program. The changes are only proposed to the HRSA 99-1 form (also
known as Exhibit O(2)), the HRSA 99-5 form, and the FTE resident
assessment exhibits. All other CHGME Payment Program application and
FTE resident assessment forms are the same as currently approved. The
changes described require OMB approval and are as follows:
1. CHGME Payment Program Application Instructions and Guidance:
Update initial and reconciliation application instructions and
guidance. Some of the examples provided in the instructions and
guidance reference the FY 2010 application cycle and related dates.
HRSA will update these dates to FY 2020 or more information that is
relevant to applicants.
2. CHGME Payment Program Application HRSA 99-1 form: Revise Lines
4.05a, 5.05a, and 6.05a of the HRSA 99-1 form to include language
referencing additional add-ons to the cap.
To the extent that it is reasonable and feasible, HRSA adheres to
Centers for Medicare & Medicaid Services (CMS) regulations to ease the
burden for children's teaching hospitals participating in the CHGME
Payment Program that must also comply with CMS regulations.
Specifically, per 66 FR 12940 (March 1, 2001) and 66 FR 37980 (July 20,
2001) the CHGME Payment Program follows the regulations provided at 42
CFR 413.86(f), (g), (h), and (i), which are now reflected in 42 CFR
413.79, regarding the application of the FTE resident caps as described
in Section 1886(h) of the Social Security Act.
The CHGME Payment Program application forms have been revised to
accommodate the final rule with comment period issued by CMS on
December 27, 2021 (86 FR 73416). CMS issued the final rule to implement
policies based on legislative changes relative to Medicare GME for
teaching hospitals provided by Sections 126, 127, and 131 of the
Consolidated Appropriations Act (CAA), 2021 (Pub. L. 116-260).
The final rule implements Sections 126, 127, and 131 of the CAA
affecting Medicare direct GME and indirect medical education (IME)
payments to teaching hospitals. Section 126(a) of the CAA amended
section 1886(h) of the Social Security Act by adding a new section
1886(h)(9) of the Social Security Act requiring the distribution of
additional residency positions to qualifying hospitals. Section 127 of
the CAA amended section 1886(h)(4)(H)(iv) of the Social Security Act to
specify that in the case of a hospital not located in a rural area that
established or establishes a medical residency training program (or
rural track) in a rural area, the hospital, and each such hospital
located in a rural area that participates in such a training, is
allowed to receive an adjustment to its FTE resident limit. Section 131
of the CAA also amended
[[Page 48184]]
section 1886(h)(4)(H)(i) of the Social Security Act to provide an
opportunity for hospitals that meet certain criteria and that have very
small FTE resident caps to replace those caps if the Secretary
determines the hospital begins training residents in a new program
beginning on or after enactment (December 27, 2020) and before 5 years
after enactment (December 26, 2025).
HRSA proposes to revise lines 4.05a, 5.05a, and 6.05a of the HRSA
99-1 form, which currently provide: ``Addition (to the cap) for the
unweighted resident FTE count for allopathic and osteopathic programs
due to Sec. 5503 of ACA.'' The revised language in lines 4.05a, 5.05a,
and 6.05a of the HRSA 99-1 form would provide: ``Addition (to the cap)
for the unweighted FTE resident count for allopathic and osteopathic
programs due to Sec. 5503 of ACA, Sec. 126, Sec. 127, and/or Sec.
131 of the CAA.''
3. CHGME Payment Program Application HRSA 99-5 form: Remove items
on the initial/reconciliation application form HRSA 99-5 form
checklist.
HRSA proposes to remove ``(1) a computer disk containing completed
HRSA forms; and (2) a copy of the hospital's completed application
package''. A computer disk of the completed HRSA application forms and
a copy of the completed application package are no longer needed
following the CHGME Payment Program application's integration into
HRSA's Electronic Handbooks. The application forms and supporting
documentation are currently provided electronically via the Electronic
Handbooks Tasks and Reports functions.
4. Revisions to the existing FTE resident assessment exhibits for
use by both the CHGME Payment Program and THCGME Program:
Exhibit F--CHGME Fiscal Intermediary Introductory Request
Letter to Hospital: This letter introduces the fiscal intermediary to
the hospital and teaching health center and is a formal request to the
hospital and teaching health center for documentation to support FTE
residents claimed on the hospital's and teaching health center's
application. HRSA proposes revising the title and content of the letter
to provide clarity, reduce errors, and add language inclusive of
teaching health centers. The revised title will be Fiscal Intermediary
Introductory Request Letter to Teaching Provider.
Exhibit N--Points for Future CHGME Auditors: This form
facilitates continuity of communication from one fiscal intermediary to
the next and helps HRSA and fiscal intermediaries track and follow up
any issues with each hospital in a timely manner. HRSA proposes
revising the title and content to include an area for points from prior
years and to add language inclusive of teaching health centers. The
revised title will be Points for Future Audits.
Exhibit S--Final Medicare Administrative Contractor (MAC)
Letter/``Top Memorandum'': This letter is sent from the fiscal
intermediary to the MAC of each children's hospital and any teaching
health center affiliated hospital following completion of the audit.
This letter is to notify the MAC of the completion of the resident FTE
assessment for each respective children's hospital or teaching health
center affiliated hospital and to provide a summary report of the audit
findings to be incorporated into the Medicare cost report, if
applicable. HRSA has proposed revising the title and content to include
the notification to the MAC of the identification of an overlap and the
release of FTE resident(s) by the children's hospital or a teaching
health center affiliated hospital to resolve an overlap, if applicable.
The revised title will be Final MAC Adjustment and Overlap Resolution
Letter.
5. Addition of one FTE resident assessment exhibit for use by both
the CHGME Payment Program and THCGME Program:
HRSA proposes to add Exhibit E--Fiscal Intermediary Introductory
Request Letter to MAC which would request hospital information prior to
the commencement of the audit. This is a document that the fiscal
intermediaries currently use internally and include in their own
working papers. HRSA proposes to have this document included as part of
the FTE resident assessment report submitted by the fiscal
intermediaries to HRSA.
This letter introduces the fiscal intermediary to the MAC
and is a formal request to the MAC for documentation to support FTE
residents claimed on the children's hospital's application and the
teaching health center's affiliated hospital Medicare Cost Report.
6. Deletion of one FTE resident assessment exhibit previously used
by the CHGME Payment Program.
HRSA proposes to discontinue the use of the FTE Resident Assessment
Cover Letter, which is no longer needed to share information from the
fiscal intermediary. The Conversation Record exhibit currently provides
the same information.
This letter includes a brief description of the audit that
was performed and for which years, as well as a list of the documents
included for review by the CHGME Payment Program.
Need and Proposed Use of the Information: Information collected
will be used during the CHGME Payment Program initial application and
the reconciliation process for both the CHGME Payment Program and
THCGME Program to determine the amount of graduate medical education
payments to be distributed to participating children's hospitals and
teaching health centers. The CHGME Payment Program initial application
forms and the FTE resident assessment forms for both the CHGME Payment
Program and THCGME Program will also be used to determine CHGME Payment
Program and THCGME Program eligibility and compliance with the
programs' requirements.
Likely Respondents: The CHGME Payment Program applicants, CHGME
Payment Program participants, and fiscal intermediaries auditing data
submitted by the participating children's hospitals and teaching health
centers.
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. The CHGME participating
children's hospitals report their FTE residents using forms and
exhibits approved by OMB (#0915-0247). The THCGME participating
teaching health centers report their FTE residents using forms, tools
and exhibits approved by OMB (#0915-0342 and #0915-0367). The FTE
resident assessment forms and exhibits currently approved for use by
the CHGME Payment Program under OMB clearance #0915-0247 will be
reviewed or completed by the fiscal intermediaries during the audit of
the FTE residents reported by the teaching health centers participating
in the THCGME Program. The FTE resident assessment forms and exhibits
are submitted to HRSA for approval. The fiscal intermediaries currently
reviewing or completing the forms and exhibits to perform the audit of
the 60 children's hospitals will utilize the
[[Page 48185]]
forms and exhibits during the audit of 60 teaching health centers. The
increased number of responses from the fiscal intermediaries related to
the additional 60 THCGME audits performed results in an increase of
approximately 2,000 burden hours.
Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per Total burden
Form name respondents responses per Total responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
Application Cover Letter 60.............. 2 120............ 0.33 39.6
(CHGME Initial and
Reconciliation).
HRSA 99 Form (CHGME Initial 60.............. 2 120............ 0.33 39.6
and Reconciliation).
HRSA 99-1 Form (CHGME 60.............. 1 60............. 26.50 1,590.0
Initial).
HRSA 99-1 Form (CHGME 60.............. 1 60............. 6.50 390.0
Reconciliation).
HRSA 99-1 (Supplemental) 30.............. 2 60............. 3.67 220.2
(CHGME FTE Resident
Assessment Only).
HRSA 99-2 Form (CHGME 60.............. 1 60............. 11.33 679.8
Initial).
HRSA 99-2 Form (CHGME 60.............. 1 60............. 3.67 220.2
Reconciliation).
HRSA 99-4 Form (CHGME 60.............. 1 60............. 12.50 750.0
Reconciliation).
HRSA 99-5 Form (Initial and 60.............. 2 120............ 0.33 39.6
Reconciliation).
CFO Form Letter (CHGME 60.............. 2 120............ 0.33 39.6
Initial and Reconciliation).
Exhibit 2 (CHGME Initial and 60.............. 2 120............ 0.33 39.6
Reconciliation).
Exhibit 3 (CHGME Initial and 60.............. 2 120............ 0.33 39.6
Reconciliation).
Exhibit 4 (CHGME Initial and 60.............. 2 120............ 0.33 39.6
Reconciliation).
Conversation Record (CHGME 30.............. 2 60............. 3.67 220.2
FTE Resident Assessment
Only).
Exhibit C (CHGME and THCGME 30.............. 4 120............ 3.67 440.4
FTE Resident Assessment).
Exhibit E (CHGME and THCGME 30.............. 4 120............ 3.67 440.4
FTE Resident Assessment).
Exhibit F (CHGME and THCGME 30.............. 4 120............ 3.67 440.4
FTE Resident Assessment).
Exhibit N (CHGME and THCGME 30.............. 4 120............ 3.67 440.4
FTE Resident Assessment).
Exhibit O(1) (CHGME and 30.............. 4 120............ 3.67 440.4
THCGME FTE Resident
Assessment).
Exhibit O(2) (HRSA 99-1) 30.............. 2 60............. 26.5 1590.0
(CHGME FTE Resident
Assessment Only).
Exhibit P (Reconciliation 30.............. 4 120............ 3.67 440.4
Tool) (CHGME and THCGME FTE
Resident Assessment).
Exhibit P(2) (CHGME and 30.............. 4 120............ 3.67 440.4
THCGME FTE Resident
Assessment).
Exhibit S (CHGME and THCGME 30.............. 4 120............ 3.67 440.4
FTE Resident Assessment).
Exhibit T (CHGME FTE Resident 30.............. 2 60............. 3.67 220.2
Assessment Only).
Exhibit T(1) (CHGME FTE 30.............. 2 60............. 3.67 220.2
Resident Assessment Only).
Exhibit 1 (CHGME FTE Resident 30.............. 2 60............. 0.33 19.8
Assessment Only).
Exhibit 2 (CHGME FTE Resident 30.............. 2 60............. 0.33 19.8
Assessment Only).
Exhibit 3 (CHGME FTE Resident 30.............. 2 60............. 0.33 19.8
Assessment Only).
Exhibit 4 (CHGME FTE Resident 30.............. 2 60............. 0.33 19.8
Assessment Only).
----------------------------------------------------------------------------------
Total.................... 90 (60 .............. 180 (60 .............. *** 9,980.40
children's children's
hospitals and hospitals
30 fiscal applications,
intermediaries 60 CHGME
*. audits and 60
THCGME audits)
**.
----------------------------------------------------------------------------------------------------------------
* The total respondents are 90 because children's hospitals (60) and fiscal intermediaries (30) are completing
the forms.
** The total responses are 180 because children's hospitals (60) and fiscal intermediaries for the CHGME audits
(60) and the THCGME audits (60) are completing the forms.
*** The increase of 2,000 burden hours is due to the additional 60 THCGME audits.
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
[[Page 48186]]
or other forms of information technology to minimize the information
collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022-16898 Filed 8-5-22; 8:45 am]
BILLING CODE 4165-15-P
