Notice2025-09518
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 (CHGME) Payment Program; and FTE Resident Assessment Forms To Report FTE Residents Trained by Organizations Participating in the CHGME Payment Program and the Teaching Health Center Graduate Medical Education (THCGME) Program, OMB No. 0915-0247-Revision
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Published
May 28, 2025
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
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.
Full Text
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<title>Federal Register, Volume 90 Issue 101 (Wednesday, May 28, 2025)</title>
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[Federal Register Volume 90, Number 101 (Wednesday, May 28, 2025)]
[Notices]
[Pages 22496-22497]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-09518]
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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: 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 (CHGME) Payment Program; and FTE Resident Assessment Forms To
Report FTE Residents Trained by Organizations Participating in the
CHGME Payment Program and the Teaching Health Center Graduate Medical
Education (THCGME) 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 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 July 28,
2025.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#a0d0c1d0c5d2d7cfd2cbe0c8d2d3c18ec7cfd6"><span class="__cf_email__" data-cfemail="2e5e4f5e4b5c59415c456e465c5d4f00494158">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14NWH04, 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 <a href="/cdn-cgi/l/email-protection#afdfcedfcaddd8c0ddc4efc7dddcce81c8c0d9"><span class="__cf_email__" data-cfemail="0f7f6e7f6a7d78607d644f677d7c6e21686079">[email protected]</span></a> or call Samantha Miller,
the HRSA Information Collection Clearance Officer, at (301) 443-3983.
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 Hospitals Participating in the CHGME Payment
Program; and FTE Resident Assessment Forms to Report FTE Residents
Trained by Organizations Participating in the CHGME Payment Program and
the THCGME Program, 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. The CHGME Payment Program and the THCGME Program provide
federal funding to support GME programs that train medical and dental
residents and fellows. 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/fellows
(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. HRSA
contracts fiscal intermediaries to assess 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. Evaluating the data from
children's hospital and teaching health center ensures compliance with
Medicare regulations and HRSA program requirements when determining the
number of FTE residents eligible for funding.
HRSA plans to submit an ICR because the current OMB clearance for
the CHGME Payment Program application and the FTE resident assessment
forms and exhibits used by both the CHGME Payment Program and the
THCGME Program expired on January 31, 2025. All CHGME Payment Program
application and the FTE resident assessment forms and exhibits used by
both the CHGME Payment Program and THCGME Program are the same as
currently approved.
Need and Proposed Use of the Information: Information collected
will be used during the CHGME Payment Program initial application
process and the reconciliation process for both the CHGME Payment
Program and the THCGME Program to calculate the amount of graduate
medical education payments that should be distributed to participating
children's hospitals and teaching health centers. The CHGME Payment
Program application forms and the FTE resident assessment forms for
both the CHGME Payment Program and THCGME Program will also be used to
confirm the eligibility of the applicant children's hospitals,
determine the number of FTE residents trained by participants in the
CHGME Payment Program and THCGME Program, and determine their
compliance with the programs' requirements.
Likely Respondents: 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 to collect, validate, and verify information; process and
maintain information, and disclose and provide 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.
CHGME participating children's hospitals report their FTE residents
using forms and exhibits approved by OMB (#0915-0247). THCGME
participating teaching health centers report their FTE residents using
forms, tools, and exhibits approved by OMB
[[Page 22497]]
(#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 during the audit of children's hospitals will
use the same forms and exhibits during the audit of teaching health
centers.
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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 (CHGME 60 2 120 0.33 39.6
Initial and Reconciliation)....
HRSA 99 Form (CHGME Initial and 60 2 120 0.33 39.6
Reconciliation)................
HRSA 99-1 Form (CHGME Initial).. 60 1 60 26.50 1,590.0
HRSA 99-1 Form (CHGME 60 1 60 6.50 390.0
Reconciliation)................
HRSA 99-1 (Supplemental) (CHGME 30 2 60 3.67 220.2
FTE Resident Assessment Only)..
HRSA 99-2 Form (CHGME Initial).. 60 1 60 11.33 679.8
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 Initial 60 2 120 0.33 39.6
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 FTE 30 2 60 3.67 220.2
Resident Assessment Only)......
Exhibit C (CHGME and THCGME FTE 30 4 120 3.67 440.4
Resident Assessment)...........
Exhibit E (CHGME and THCGME FTE 30 4 120 3.67 440.4
Resident Assessment)...........
Exhibit F (CHGME and THCGME FTE 30 4 120 3.67 440.4
Resident Assessment)...........
Exhibit N (CHGME and THCGME FTE 30 4 120 3.67 440.4
Resident Assessment)...........
Exhibit O(1) (CHGME and THCGME 30 4 120 3.67 440.4
FTE Resident Assessment).......
Exhibit O(2) (HRSA 99-1) (CHGME 30 2 60 26.5 1590.0
FTE Resident Assessment Only)..
Exhibit P (Reconciliation Tool) 30 4 120 3.67 440.4
(CHGME and THCGME FTE Resident
Assessment)....................
Exhibit P(2) (CHGME and THCGME 30 4 120 3.67 440.4
FTE Resident Assessment).......
Exhibit S (CHGME and THCGME FTE 30 4 120 3.67 440.4
Resident Assessment)...........
Exhibit T (CHGME FTE Resident 30 2 60 3.67 220.2
Assessment Only)...............
Exhibit T(1) (CHGME FTE Resident 30 2 60 3.67 220.2
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)...............
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Total....................... * 90 .............. ** 180 .............. 9,980.4
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* 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), fiscal intermediaries for the CHGME audits
(60), and the THCGME audits (60) 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, Executive Secretariat.
[FR Doc. 2025-09518 Filed 5-27-25; 8:45 am]
BILLING CODE 4165-15-P
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