Federal & State Lawfederalstatelaw.com
Home/Federal/Federal Register/2025-18009
Notice2025-18009

Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; The Teaching Health Center Graduate Medical Education Program Reconciliation Tool, OMB No. 0915-0342-Revision

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
September 17, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

Abstract

In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.

Full Text

<html>
<head>
<title>Federal Register, Volume 90 Issue 178 (Wednesday, September 17, 2025)</title>
</head>
<body><pre>
[Federal Register Volume 90, Number 178 (Wednesday, September 17, 2025)]
[Notices]
[Pages 44829-44830]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-18009]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission to OMB for 
Review and Approval; Public Comment Request; The Teaching Health Center 
Graduate Medical Education Program Reconciliation Tool, OMB No. 0915-
0342--Revision

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

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA 
submitted an Information Collection Request (ICR) to the Office of 
Management and Budget (OMB) for review and approval. Comments submitted 
during the first public review of this ICR will be provided to OMB. OMB 
will accept further comments from the public during the review and 
approval period. OMB may act on HRSA's ICR only after the 30-day 
comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than October 
17, 2025.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this

[[Page 44830]]

notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Samantha Miller, the HRSA 
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#c8b8a9b8adbabfa7baa388a0babba9e6afa7be"><span class="__cf_email__" data-cfemail="e19180918493968e938aa189939280cf868e97">[email&#160;protected]</span></a> or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: The Teaching Health Center 
Graduate Medical Education (THCGME) Program Reconciliation Tool OMB No. 
0915-0342--Revision.
    Abstract: The THCGME program, authorized by Section 340H of the 
Public Health Service Act, was established by Section 5508 of Public 
Law 111-148. The Full-Year Continuing Appropriations and Extensions 
Act, 2025 (Pub. L. 119-4) provides continued funding for the THCGME 
program. THCGME payments support training for primary care residents in 
community-based ambulatory patient care settings. HRSA collects 
information from THCGME program award recipients using an OMB-approved 
reconciliation tool. HRSA seeks to renew this approved information 
collection. The only changes to the information collection are 
increases in the number of respondents due to an increase in the number 
of program award recipients from 83 to 87, as well as an increase in 
the average burden per response based on feedback received during the 
60-day comment period (see below for more detail).
    A 60-day notice was published in the Federal Register on May 16, 
2025, vol. 90, No. 94; pp. 21051-52. There were nine public comments. 
Below is a summary of key themes raised in the comments and HRSA's 
response:
    <bullet> All commenters expressed strong support of HRSA's use of 
the THCGME Program Reconciliation Tool to collect data from 
participating teaching health centers (THCs). They state that this data 
collection is essential for ensuring proper reconciliation of payments 
which promotes accountability across THCGME program-supported THCs.
    <bullet> Commenters stated that the burden hour estimate does not 
correctly reflect the time required to complete the reconciliation tool 
and urged HRSA to revise the burden hours.
    <bullet> Commenters encouraged HRSA to explore potential 
refinements to the tool to reduce unnecessary manual steps while 
maintaining program integrity and accountability.
    <bullet> Commenters leveraged the Federal Register notice comment 
period as an opportunity to express support for program expansion, 
changes to recoupment methodology, or other program policies.
    <bullet> Some commenters proposed a collaboration with other 
federal graduate medical education funding agencies to standardize 
funding frameworks to ease administrative burden and ensure compliance 
with funding regulations.
    HRSA directly responded to each stakeholder who submitted comments, 
acknowledging the considerations raised. HRSA recognizes and 
appreciates the amount of work that existing grant recipients put into 
completing the Reconciliation Tool annually. HRSA provides the average 
burden hours based on grant recipients' responses. Grant recipient 
burden hours can vary greatly based on the number of their awarded 
resident Full-Time Equivalents (FTEs). Given the comment, HRSA will 
adjust the burden hours to reflect grant recipients with smallest and 
largest awarded resident FTEs within the calculated average. Due to the 
significant differences among the THCs, HRSA will consider providing a 
range of burden hours on future OMB documents to reflect this marked 
difference. Determining the appropriate burden range will require 
additional inquiries from grant recipients of varying sizes. For items 
outside the scope of this notice, such as a standardized funding 
framework across federal graduate medical education funding agencies, 
program expansion, recoupment methodology or other program policies, 
HRSA will take these comments into consideration for future policy 
development.
    Need and Proposed Use of the Information: THCGME program payments 
are prospective payments, and the statute provides for a reconciliation 
process, through which overpayments may be recouped, and adjustments 
made, at the end of the fiscal year. This data collection instrument 
will gather information relating to the number of resident FTEs in THC 
training programs to reconcile payments.
    Likely Respondents: The likely respondents to the THCGME 
Reconciliation Tool are THCGME program award recipients.
    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
----------------------------------------------------------------------------------------------------------------
THCGME Reconciliation Tool......              87               1              87               5             435
                                 -------------------------------------------------------------------------------
    Total.......................              87  ..............              87  ..............             435
----------------------------------------------------------------------------------------------------------------


Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-18009 Filed 9-16-25; 8:45 am]
BILLING CODE 4165-15-P


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>
View on FederalRegister.gov →Plain-text source
Indexed from Federal Register on September 17, 2025.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.