[Federal Register Volume 86, Number 31 (Thursday, February 18, 2021)]
[Notices]
[Pages 10084-10085]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-03257]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10326]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments must be received by April 19, 2021.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs 
Division of Regulations Development. Attention: Document Identifier/OMB 
Control Number CMS-10326, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10326--Electronic Submission of Medicare Graduate Medical Education 
(GME) Affiliation Agreements

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Reinstatement without 
change of a currently approved collection; Title of Information 
Collection: Electronic Submission of Medicare Graduate Medical 
Education (GME) Affiliation Agreements; Use: Existing regulations at 
Sec.  413.75(b) permit hospitals that share residents to elect to form 
a Medicare GME affiliated group if they are in the same or contiguous 
urban or rural areas, if they are under common ownership, or if they 
are jointly listed as program sponsors or major participating 
institutions in the same program by the accrediting agency. The purpose 
of a Medicare GME affiliated group is to provide flexibility to 
hospitals in structuring rotations under an aggregate full time 
equivalent (FTE) resident cap when they share residents. The existing 
regulations at Sec.  413.79(f)(1) specify that each hospital in a 
Medicare GME affiliated group must submit a Medicare GME affiliation 
agreement (as defined under Sec.  413.75(b)) to the Medicare 
Administrative Contractor (MAC) servicing the hospital and send a copy 
to the Centers for Medicare and Medicaid Services' (CMS) Central 
Office, no later than July 1 of the residency program year during which 
the Medicare GME affiliation agreement will be in effect.
    CMS will use the information contained in electronic affiliation 
agreements as documentation of the existence of Medicare GME 
affiliations, and to verify that the affiliations being formed by 
teaching hospitals for the purposes of sharing their Medicare GME FTE 
cap slots are valid according to CMS regulations. CMS will also use 
these affiliation agreements as reference materials when potential 
issues involving specific affiliations arise. While we have used hard 
copies of affiliation agreements for those same purposes in the past, 
we implemented this electronic submission process in order to expedite 
and ease the process of retrieving, analyzing and evaluating 
affiliation agreements. Form Number: CMS-10326 (OMB control number: 
0938-1111); Frequency: Annually; Affected Public: Private Sector, 
Business or other for profits, Not for profit institutions; Number of 
Respondents: 125; Total Annual Responses: 125; Total

[[Page 10085]]

Annual Hours: 166. (For policy questions regarding this collection 
contact Shevi Marciano at 410-786-2875.)

    Dated: February 12, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-03257 Filed 2-17-21; 8:45 am]
BILLING CODE 4120-01-P