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View ICR - OIRA Conclusion

OMB Control No: 0915-0247	ICR Reference No: 201404-0915-005
Status: Historical Active	Previous ICR Reference No: 201103-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Children's Hospital Graduate Medical Eduction Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/03/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	06/30/2014
Responses	1,470	0	60
Time Burden (Hours)	5,905	0	3,730
Cost Burden (Dollars)	0	0	0

Abstract: The Children's Hospitals Graduate Medical Education (CHGME) Payment Program was enacted by Public Law 106-129 to provide federal support for graduate medical education (GME) to freestanding children's hospitals. This legislation attempts to provide support for GME comparable to the level of Medicare GME support received by other, non-children's hospitals. The legislation requires that eligible children's hospitals receive payments for both direct and indirect medical education expenses. Payments for direct expenses offset the expenses associated with operating approved graduate medical residency training programs, and payments for indirect expenses compensate hospitals for expenses associated with the treatment of more severely ill patients and the additional costs relating to teaching residents in such programs. The Centers for Medicare and Medicaid Services (CMS) issued a final rule in the Federal Register regarding Sections 5503, 5504, 5505 and 5506 of the Affordable Care Act of 2010, Public Law 111-148, on Wednesday, November 24, 2010. This final rule included policy changes on counting resident time in non-provider settings, counting resident time for didactic training and the redistribution of resident caps, which required modification of the data collection forms within the CHGME Payment Program application. The necessary modifications were made and received OMB clearance on June 30, 2012. In addition, on September 30, 2013, CMS published revised cost report forms on their Web site, specifically form CMS 2552-10, Worksheet E-4, requiring modification of the data collection forms in the CHGME Payment Program application. Furthermore, the inclusion of forms and documentation requests used to collect data from the fiscal intermediaries that audit the children's hospitals as part of a contract with the CHGME program. These changes require OMB approval.

Authorizing Statute(s): PL: Pub.L. 106 - 310 2001 Name of Law: Graduate Medical Education Programs in Children's Hospitals
   PL: Pub.L. 106 - 129 4 Name of Law: Healthcare Research and Quality Act of 1999
   PL: Pub.L. 108 - 490 2 Name of Law: Children's Hospital GME Support Reauthorization Act of 2006
   PL: Pub.L. 106 - 310 2001 Name of Law: Children's Health Act of 2000
   PL: Pub.L. 111 - 148 5503, 5504 Name of Law: Patient Protection and Affordable Care Act

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 5503, 5504 Name of Law: Patient Protection and Affordable Care Act

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	1,470	60	1,470	-60
Annual Time Burden (Hours)	5,905	3,730	5,905	-3,730
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: In the previous information collection request there was an estimated total of 3,729.6 burden hours. We are now requesting a total of 5,903.4 hours, which is an increase of 2173.8 burden hours. The increase in total burden hours results from minor revisions made to the CHGME Payment Program application forms to accommodate changes required by the Affordable Care Act, in particular revisions implemented related to the CMS Form 2552-10, which is used as part of the CHGME Payment Program application. In addition, increase in total burden hours results from the addition of the forms and documentation used to collect data from the fiscal intermediaries that audit the children's hospitals as part of a contract the CHGME program currently has to assess the FTE resident counts reported by the children's hospitals and used to calculate payment. The information requested in not a new requirement for the fiscal intermediaries and has been a part of the CHGME application process, particularly with reconciliation requirements, for over ten years. However the CHGME program now understands although the data is a deliverable within the contract approval is needed to collect the data. Furthermore, the CHGME application is integrated with HRSA's EHB system which requires adjustments to certain data fields to comply with system requirements and HRSA's standards for all grant programs functioning within the EHB.