79350 Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 

For wage index values less than or equal 

to 1.0 the labor related portion of the 

ASA shall continue to equal 62 percent. 

D. Hospital Market Basket 

TRICARE will update the adjusted 

standardized amounts according to the 

final updated hospital market basket 

used for the Medicare PPS for all 

hospitals subject to the TRICARE DRGbased payment system according to 

CMS’s August 16, 2010, final rule. For 

Fiscal Year 2011, the market basket is 

2.6 percent. This year, Medicare applied 

two reductions to their market basket 

amount: (1) A 0.25 percent reduction 

due to provisions found in the Patient 

Protection and Affordable Care Act, and 

(2) a 2.9 percent reduction for 

documentation and coding adjustments 

found in Public Law 110–90. These two 

reductions do not apply to TRICARE. 

E. Outlier Payments 

Since TRICARE does not include 

capital payments in our DRG-based 

payments (TRICARE reimburses 

hospitals for their capital costs as 

reported annually to the contractor on a 

pass-through basis), we will use the 

fixed loss cost outlier threshold 

calculated by CMS for paying cost 

outliers in the absence of capital 

prospective payments. For Fiscal Year 

2011, the TRICARE fixed loss cost 

outlier threshold is based on the sum of 

the applicable DRG-based payment rate 

plus any amounts payable for Indirect 

Medical Education (IDME) plus a fixed 

dollar amount. Thus, for Fiscal Year 

2011, in order for a case to qualify for 

cost outlier payments, the costs must 

exceed the TRICARE DRG-based 

payment rate (wage adjusted) for the 

DRG plus the IDME payment plus 

$21,229 (wage adjusted). The marginal 

cost factor for cost outliers continues to 

be 80 percent. 

F. National Operating Standard Cost as 

a Share of Total Costs 

The Fiscal Year 2011 TRICARE 

National Operating Standard Cost as a 

Share of Total Costs (NOSCASTC) used 

in calculating the cost outlier threshold 

is 0.92. TRICARE uses the same 

methodology as CMS for calculating the 

NOSCASTC; however, the variables are 

different because TRICARE uses 

national cost-to-charge ratios while CMS 

uses hospital-specific cost-to-charge 

ratios. 

G. Indirect Medical Education (IDME) 

Adjustment 

Passage of the Medicare 

Modernization Act of 2003 modified the 

formula multipliers to be used in the 

calculation of the indirect medical 

education (IDME) adjustment factor. 

Since the IDME formula used by 

TRICARE does not include 

disproportionate share hospitals (DSHs), 

the variables in the formula are different 

than Medicare’s; however, the 

percentage reductions that will be 

applied to Medicare’s formula will also 

be applied to the TRICARE IDME 

formula. The new multiplier for the 

IDME adjustment factor for TRICARE for 

Fiscal Year 2011 is 1.02. 

H. Expansion of the Post Acute Care 

Transfer Policy 

For Fiscal Year 2011 TRICARE is 

adopting CMS’ expanded post acute 

care transfer policy according to CMS’ 

final rule published August 16, 2010. 

I. Cost-to-Charge Ratio 

While CMS uses hospital-specific 

cost-to-charge ratios, TRICARE uses a 

national cost-to-charge ratio. For Fiscal 

Year 2011, the cost-to-charge ratio used 

for the TRICARE DRG-based payment 

system for acute care hospitals and 

neonates will be 0.3664. This shall be 

used to calculate the adjusted 

standardized amounts and to calculate 

cost outlier payments, except for 

children’s hospitals. For children’s 

hospital cost outliers, the cost-to-charge 

ratio used is 0.3974. 

J. Updated Rates and Weights 

The updated rates and weights are 

accessible through the Internet at 

http://www.tricare.osd.mil under the 

sequential headings TRICARE Provider 

Information, Rates and Reimbursements, 

and DRG Information. Table 1 provides 

the ASA rates and Table 2 provides the 

DRG weights to be used under the 

TRICARE DRG-based payment system 

during Fiscal Year 2011. The 

implementing regulations for the 

TRICARE/CHAMPUS DRG-based 

payment system are in 32 CFR Part 199. 

Dated: December 14, 2010. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2010–31792 Filed 12–17–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF EDUCATION 

Notice of Submission for OMB Review 

AGENCY: Department of Education. 

ACTION: Comment request. 

SUMMARY: The Director, Information 

Collection Clearance Division, 

Regulatory Information Management 

Services, Office of Management invites 

comments on the submission for OMB 

review as required by the Paperwork 

Reduction Act of 1995 (Pub. L. 104–13). 

DATES: Interested persons are invited to 

submit comments on or before January 

19, 2011. 

ADDRESSES: Written comments should 

be addressed to the Office of 

Information and Regulatory Affairs, 

Attention: Education Desk Officer, 

Office of Management and Budget, 725 

17th Street, NW., Room 10222, New 

Executive Office Building, Washington, 

DC 20503, be faxed to (202) 395–5806 or 

e-mailed to oira_submission@omb.eop.

gov with a cc: to ICDocketMgr@ed.gov. 

Please note that written comments 

received in response to this notice will 

be considered public records. 

SUPPLEMENTARY INFORMATION: Section 

3506 of the Paperwork Reduction Act of 

1995 (44 U.S.C. Chapter 35) requires 

that the Office of Management and 

Budget (OMB) provide interested 

Federal agencies and the public an early 

opportunity to comment on information 

collection requests. The OMB is 

particularly interested in comments 

which: (1) Evaluate whether the 

proposed collection of information is 

necessary for the proper performance of 

the functions of the agency, including 

whether the information will have 

practical utility; (2) Evaluate the 

accuracy of the agency’s estimate of the 

burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used; 

(3) Enhance the quality, utility, and 

clarity of the information to be 

collected; and (4) Minimize the burden 

of the collection of information on those 

who are to respond, including through 

the use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology. 

Dated: December 14, 2010. 

Darrin A. King, 

Director, Information Collection Clearance 

Division, Regulatory Information 

Management Services, Office of Management. 

Institute of Education Sciences 

Type of Review: Revision. 

Title of Collection: High School 

Longitudinal Study of 2009 (HSLS:09) 

First Follow-up Field Test 2011. 

OMB Control Number: 1850–0852. 

Agency Form Number(s): N/A. 

Frequency of Responses: Annually. 

Affected Public: Individuals or 

household. 

Total Estimated Number of Annual 

Responses: 6,873. 

Total Estimated Annual Burden 

Hours: 1,161. 

Abstract: The High School 

Longitudinal Study of 2009 (HSLS:09) is 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 79351 

a nationally representative, longitudinal 

study of more than 20,000 ninth graders 

in 944 schools, who will be followed 

through their secondary and 

postsecondary years. The study focuses 

on understanding students’ trajectories 

from the beginning of high school into 

university or the workforce and beyond 

and will provide data on how students 

navigate the transition between high 

school and the postsecondary world; 

and what courses, majors, first job, and 

careers students decide to pursue when, 

why, and how, especially, but not 

solely, in regards to science, technology, 

engineering, and math courses, majors, 

and careers. This study includes a new 

student assessment in algebraic skills, 

reasoning, and problem solving and 

surveys students, their parents, teachers, 

school administrators, and school 

counselors. This submission is a request 

for clearance for a 2011 field test and a 

60-day Federal Register notice waiver 

for the 2012 full scale HSLS:09 First 

Follow-up data collection. 

Requests for copies of the information 

collection submission for OMB review 

may be accessed from the RegInfo.gov 

Web site at http://www.reginfo.gov/

public/do/PRAMain or from the 

Department’s Web site at http://

edicsweb.ed.gov, by selecting the 

‘‘Browse Pending Collections’’ link and 

by clicking on link number 4415. When 

you access the information collection, 

click on ‘‘Download Attachments ’’ to 

view. Written requests for information 

should be addressed to U.S. Department 

of Education, 400 Maryland Avenue, 

SW., LBJ, Washington, DC 20202–4537. 

Requests may also be electronically 

mailed to the Internet address 

ICDocketMgr@ed.gov or faxed to 202– 

401–0920. Please specify the complete 

title of the information collection and 

OMB Control Number when making 

your request. 

Individuals who use a 

telecommunications device for the deaf 

(TDD) may call the Federal Information 

Relay Service (FIRS) at 1–800–877– 

8339. 

[FR Doc. 2010–31799 Filed 12–17–10; 8:45 am] 

BILLING CODE 4000–01–P 

DEPARTMENT OF EDUCATION 

Notice of Proposed Information 

Collection Requests 

AGENCY: Department of Education. 

ACTION: Comment request. 

SUMMARY: The Department of Education 

(the Department), in accordance with 

the Paperwork Reduction Act of 1995 

(PRA) (44 U.S.C. 3506(c)(2)(A)), 

provides the general public and Federal 

agencies with an opportunity to 

comment on proposed and continuing 

collections of information. This helps 

the Department assess the impact of its 

information collection requirements and 

minimize the reporting burden on the 

public and helps the public understand 

the Department’s information collection 

requirements and provide the requested 

data in the desired format. The Director, 

Information Collection Clearance 

Division, Regulatory Information 

Management Services, Office of 

Management, invites comments on the 

proposed information collection 

requests as required by the Paperwork 

Reduction Act of 1995. 

DATES: Interested persons are invited to 

submit comments on or before February 

18, 2011. 

ADDRESSES: Comments regarding burden 

and/or the collection activity 

requirements should be electronically 

mailed to ICDocketMgr@ed.gov or 

mailed to U.S. Department of Education, 

400 Maryland Avenue, SW., LBJ, 

Washington, DC 20202–4537. Please 

note that written comments received in 

response to this notice will be 

considered public records. 

SUPPLEMENTARY INFORMATION: Section 

3506 of the Paperwork Reduction Act of 

1995 (44 U.S.C. Chapter 35) requires 

that Federal agencies provide interested 

parties an early opportunity to comment 

on information collection requests. The 

Director, Information Collection 

Clearance Division, Regulatory 

Information Management Services, 

Office of Management, publishes this 

notice containing proposed information 

collection requests at the beginning of 

the Departmental review of the 

information collection. The Department 

of Education is especially interested in 

public comment addressing the 

following issues: (1) Is this collection 

necessary to the proper functions of the 

Department; (2) will this information be 

processed and used in a timely manner; 

(3) is the estimate of burden accurate; 

(4) how might the Department enhance 

the quality, utility, and clarity of the 

information to be collected; and (5) how 

might the Department minimize the 

burden of this collection on the 

respondents, including through the use 

of information technology. 

Dated: December 15, 2010. 

Darrin A. King, 

Director, Information Collection Clearance 

Division, Regulatory Information 

Management Services, Office of Management. 

Office of Elementary and Secondary 

Education 

Type of Review: Revision. 

Title of Collection: Survey on the Use 

of Funds Under Title II, Part A 

(Improving Teacher Quality State 

Grants—Subgrants to Local Education 

Agencies (LEAs)). 

OMB Control Number: 1810–0618. 

Agency Form Number(s): N/A. 

Frequency of Responses: Annually. 

Affected Public: State, Local, or Tribal 

Government, State Educational 

Agencies or Local Education Agencies. 

Total Estimated Number of Annual 

Responses: 850. 

Total Estimated Number of Annual 

Burden Hours: 4,600. 

Abstract: The Elementary and 

Secondary Education Act of 1965, as 

amended, provides funds to districts to 

improve the quality of their teaching 

and principal force and raise student 

achievement. These funds are provided 

to districts through Title II, Part A 

(Improving Teacher Quality State 

Grants—Subgrants to LEAs). The 

purpose of this survey is for the U.S. 

Department of Education to have a 

better understanding of how districts 

use these funds. The survey also collects 

information on high-quality professional 

development in LEAs. In addition to the 

LEA survey, the package also includes 

a short survey for State Educational 

Agencies (SEA) that provides 

information on fiscal year allocations of 

Title II, Part A funds made to the LEAs 

selected for participation in the LEA 

survey. 

This OMB clearance request is to 

continue these analyses using a similar 

data collection instrument and sampling 

plan for the 2011–2012 school year and 

subsequent years. Minor changes to the 

LEA survey are requested. No changes 

to the SEA survey are required. 

Requests for copies of the proposed 

information collection request may be 

accessed from http://edicsweb.ed.gov, 

by selecting the ‘‘Browse Pending 

Collections’’ link and by clicking on link 

number 4473. When you access the 

information collection, click on 

‘‘Download Attachments’’ to view. 

Written requests for information should 

be addressed to U.S. Department of 

Education, 400 Maryland Avenue, SW., 

LBJ, Washington, DC 20202–4537. 

Requests may also be electronically 

mailed to ICDocketMgr@ed.gov or faxed 

to 202–401–0920. Please specify the 

complete title of the information 

collection and OMB Control Number 

when making your request. 

Individuals who use a 

telecommunications device for the deaf 

(TDD) may call the Federal Information 

Relay Service (FIRS) at 1–800–877– 

8339. 

[FRDoc. 2010–31862 Filed 12–17–10; 8:45 am] 

BILLING CODE 4000–01–P 


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