Notice2025-18774
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Initial and Reconciliation Application Forms To Report Graduate Medical Education Data and Full-Time Equivalent 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 CHGME Payment Program and the Teaching Health Center Graduate Medical Education Program, OMB No. 0915-0247-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 29, 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
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<title>Federal Register, Volume 90 Issue 186 (Monday, September 29, 2025)</title>
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[Federal Register Volume 90, Number 186 (Monday, September 29, 2025)]
[Notices]
[Pages 46612-46614]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-18774]
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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; Initial and Reconciliation
Application Forms To Report Graduate Medical Education Data and Full-
Time Equivalent 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 CHGME Payment Program and the
Teaching Health Center Graduate Medical Education 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 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
29, 2025.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this 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#354554455047425a475e755d4746541b525a43"><span class="__cf_email__" data-cfemail="e19180918493968e938aa189939280cf868e97">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Initial and Reconciliation
Application Forms to Report Graduate Medical Education Data and Full-
Time Equivalent Residents Trained by Hospitals Participating in the
Children's Hospitals Graduate Medical Education Payment Program; and
Full-Time Equivalent Resident Assessment Forms to Report Full-Time
Equivalent Residents Trained by Organizations Participating in the
Children's Hospitals Graduate Medical Education Payment Program and the
Teaching Health Center Graduate Medical Education Program, OMB No.
0915-0247--Revision.
Abstract: The Healthcare Research and Quality Act of 1999 (Pub. L.
106-129) established the Children's Hospitals Graduate Medical
Education (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 Support Reauthorization
Act of 2018 (Pub. L. 115-241). In 2010, the Patient Protection and
Affordable Care Act (Pub. L. 111-148) established the Teaching Health
Center Graduate Medical Education (THCGME) Program, Section 340H of the
Public Health Service Act. The CHGME Payment Program and the THCGME
Program provide federal funding to support graduate medical education
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 full-time equivalent (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 hospitals and teaching health centers 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 and THCGME programs expire on December
31, 2025. All CHGME Payment Program applications and the FTE resident
assessment forms and exhibits used by both the CHGME and THCGME
programs are the same as currently approved.
[[Page 46613]]
A 60-day notice was published in the Federal Register on May 28,
2025, vol. 90, No. 101; pp. 22496-97. HRSA received two public
comments. Below is a summary of key themes raised in the comments and
HRSA's response:
Support for the CHGME Payment Program
A commenter provided support of the CHGME Payment Program, stating
that the Program is the only federal program that specifically supports
pediatric and pediatric subspecialty training at the nation's
children's hospitals. The commenter cited HRSA's National Center for
Workforce Analysis fact sheet with Program accomplishments showing
CHGME Payment Program-participating children's hospitals trained 55
percent of all pediatric residents and 56 percent of all pediatric
subspecialists in the United States in the 2023-2024 academic years and
provided valuable care to the nation's children, including those in
military-connected families and rural and underserved communities. Both
commenters expressed their satisfaction with HRSA's efforts to reduce
reporting burden through its plans to adopt Centers for Medicare &
Medicaid Services' direct graduate medical education methodology for
determining the weighted FTE count for children's hospitals
participating in the CHGME Payment Program.
HRSA appreciates the commenters' support for the CHGME Payment
Program and the agency's efforts to minimize administrative burden on
children's hospitals who must report FTE counts to the CHGME Payment
Program and the Centers for Medicare & Medicaid Services.
Recommendations To Reduce Burden
Both comments expressed the following:
<bullet> Stated that the time, effort, and costs associated with
tracking residents, gathering the data, and completing the forms is
burdensome.
<bullet> Expressed concern about the amount of information
collected on HRSA's forms. Commenters encouraged HRSA to increase the
use of automation, improve the efficiency of their processes to improve
accuracy, reduce duplication, ensure the efficient use of hospital
resources, and enable the CHGME hospitals to focus their resources on
their training programs.
<bullet> Recommended HRSA implement clear guidelines and
definitions, streamline data requests to encompass the most relevant
information, use Medicare cost report data where appropriate, improve
the data submission software, and fully utilize automation when
possible.
HRSA appreciates these comments; however, they are not directly
related to the data gathered as part of this notice. The data
collection instruments associated with this notice collect hospital
level data and aggregate FTE resident counts. Commenters mentioned the
collection of burdensome, sensitive data directly from residents, which
is due to HRSA in July--a very busy time for teaching hospitals. These
comments appear to be directed at the CHGME annual performance report
forms (OMB No. 0906-0086), which have a July deadline and require the
collection of sensitive data directly from residents. The annual
performance report forms collect more comprehensive individual level
information rather than the aggregate information on FTEs in this data
collection.
HRSA clarifies that the submission times for the forms included in
this notice are as follows: (1) the reconciliation applications forms
are due in early May, (2) the FTE assessment data is required during
the fall and winter of each fiscal year, and (3) the initial
application forms have a late August or early September submission
date. The data gathered as part of this notice is hospital level data
and aggregate FTE resident counts. Because the comments received are
outside the scope of this final notice, HRSA is not addressing comments
pertaining to the annual performance report forms and data collection.
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 and THCGME
programs 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 and THCGME
programs 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 and THCGME programs, 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 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. 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 (#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.
[[Page 46614]]
Total Estimated Annualized Burden Hours
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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 1,590.0
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 .............. 9,980.40
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* The total number of respondents is 90 because children's hospitals (60) and fiscal intermediaries (30) are
completing the forms.
** The total number of responses is 180 because children's hospitals (60) and fiscal intermediaries for the
CHGME audits (60) and the THCGME audits (60) are completing the forms.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-18774 Filed 9-26-25; 8:45 am]
BILLING CODE 4165-15-P
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