Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices 50787 

final updated hospital market basket 

used for the Medicare PPS for all 

hospitals subject to the TRICARE DRGbased payment system according to 

CMS’ August 27, 2009, final rule. For 

Fiscal Year 2010, the market basket is 

2.1 percent. 

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 

2010, the 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 fixeddollar amount. Thus, for Fiscal Year 

2010, in order for a case to qualify for 

cost outlier payments, the costs must 

exceed the TRICARE DRG base payment 

rate (wage adjusted) for the DRG plus 

the IDME payment plus $21,358 (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 2010 TRICARE 

National Operating Standard Cost as a 

Share of Total Costs (NOSCASTC) used 

in calculating the cost outlier threshold 

is 0.923. 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 Prescription 

Drug Improvement and Modernization 

Act (MMA) 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 2010 is 1.02. 

H. Expansion of the Post-Acute-Care 

Transfer Policy 

For Fiscal Year 2010 TRICARE is 

adopting CMS’ expanded post-acutecare transfer policy according to CMS’ 

final rule published August 27, 2009. 

I. Blood Clotting Factor 

For Fiscal Year 2010, TRICARE is 

adopting CMS’ payment methodology 

for blood clotting factor according to 

CMS’ final rule published August 18, 

2006. 

J. Cost-to-Charge Ratio 

While CMS uses hospital-specific 

cost-to-charge ratios, TRICARE uses a 

national cost-to-charge ratio. For Fiscal 

Year 2010, the cost-to-charge ratio used 

for the TRICARE DRG-based payment 

system for acute care hospitals and 

neonates will be 0.3740. 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 0.4047. 

K. 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 2010. The 

implementing regulations for the 

TRICARE/CHAMPUS DRG-based 

payment system are in 32 CFR part 199. 

Dated: September 25, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23738 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Army 

[Docket No. USA–2009–0018] 

Submission for OMB Review; 

Comment Request 

ACTION: Notice. 

The Department of Defense has 

submitted to OMB for clearance, the 

following proposal for collection of 

information under the provisions of the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). 

DATES: Consideration will be given to all 

comments received by November 2, 

2009. 

Title, Form and OMB Number: 

Terminal and Transfer Facilities 

Descriptions, IWR Forms 1–9; OMB 

Control Number 0710–0007. 

Type of Request: Extension. 

Number of Respondents: 1,262. 

Responses per Respondent: 1. 

Annual Responses: 1,262. 

Average Burden per Response: 15 

minutes. 

Annual Burden Hours: 316. 

Needs and Uses: Data gathered and 

published as one of the 56 Port Series 

Reports, relating to terminals, transfer 

facilities, storage facilities, and 

intermodal transportation. This 

information is used in navigation, 

planning, safety, National security, 

emergency operations, and general 

interest studies and activities. 

Respondents are terminal and transfer 

facility operators. These data are 

essential to the Waterborne Commerce 

Statistics Center in Exercising their 

enforcement and quality control 

responsibilities in the collection of data 

from vessel reporting companies. 

Affected Public: Business or other forprofit; Federal government; and State, 

Local or Tribal government. 

Frequency: Annually. 

Respondent’s Obligation: Voluntary. 

OMB Desk Officer: Mr. Jim Laity. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Laity at the Office of Management 

and Budget, Desk Officer for DoD, Room 

10236, New Executive Office Building, 

Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

DoD Clearance Officer: Ms. Patricia 

Toppings 

Written requests for copies of the 

information collection proposal should 

be sent to Ms. Toppings at WHS/ESD/ 

Information Management Division, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 


PWALKER on DSK8KYBLC1PROD with NOTICES
50788 Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices 

Dated: September 21, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23736 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Air Force 

[Docket ID: USAF–2009–0022] 

Submission for OMB Review; 

Comment Request 

ACTION: Notice. 

The Department of Defense has 

submitted to OMB for clearance, the 

following proposal for collection of 

information under the provisions of the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). 

DATES: Consideration will be given to all 

comments received by November 2, 

2009. 

Title, Form, and OMB Number: Air 

Force Recruiting Information Support 

System (AFRISS); OMB control number 

0701–0150. 

Type of Request: Extension. 

Number of Respondents: 3,100. 

Responses per Respondent: 1. 

Annual Responses: 3,100. 

Average Burden per Response: 20 

minutes. 

Annual Burden Hours: 1,033. 

Needs and Uses: Air Force Recruiting 

Service requires the collection of 

specific information on prospective Air 

Force enlistees (prospective Air Force 

enlistees include Active, Guard, and 

Reserve) entering the Air Force. The 

information is used to create the initial 

personnel record, prescreen and qualify 

enlistees fit for service and ultimately 

induction. The information is also 

collected to process security clearances 

and to record metrics to be used for 

demographics/market research and 

system performance. 

Affected Public: Individuals or 

households. 

Frequency: On occasion. 

Respondent’s Obligation: Required to 

obtain or retain benefits. 

OMB Desk Officer: Ms. Jasmeet 

Seehra. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Ms. Seehra at the Office of Management 

and Budget, Desk Officer for DoD, Room 

10236, New Executive Office Building, 

Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

DoD Clearance Officer: Ms. Patricia 

Toppings. 

Written requests for copies of the 

information collection proposal should 

be sent to Ms. Toppings at WHS/ESD/ 

Information Management Division, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: September 21, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23735 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Army 

[Docket No. USA–2009–0019] 

Submission for OMB Review; 

Comment Request 

ACTION: Notice. 

The Department of Defense has 

submitted to OMB for clearance, the 

following proposal for collection of 

information under the provisions of the 

Paperwork Reduction Act (44 U.S.C. 

Chapter 35). 

DATES: Consideration will be given to all 

comments received by November 2, 

2009. 

Title, Form and OMB Number: Lock 

Performance Monitoring System 

(LMPS); Waterway Traffic Report, ENG 

FORMS 3102C and 3102D; OMB Control 

Number 0710–0008. 

Type of Request: Extension. 

Number of Respondents: 5,132. 

Responses per Respondent: 98.31. 

Annual Responses: 504,527. 

Average Burden per Response: 2.5 

minutes. 

Annual Burden Hours: 21,022. 

Needs and Uses: The U.S. Army 

Corps of Engineers utilizes the data 

collected to monitor and analyze the use 

and operation of Federally owned and 

operated locks; owners, agents and 

masters of vessels and estimated 

tonnage and commodities carried. The 

information is used for sizing and 

scheduling replacement or maintenance 

of locks and canals. 

Affected Public: Business or other forprofit. 

Frequency: On occasion. 

Respondent’s Obligation: Mandatory. 

OMB Desk Officer: Mr. Jim Laity. 

Written comments and 

recommendations on the proposed 

information collection should be sent to 

Mr. Laity at the Office of Management 

and Budget, Desk Officer for DoD, Room 

10236, New Executive Office Building, 

Washington, DC 20503. 

You may also submit comments, 

identified by docket number and title, 

by the following method: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

DOD Clearance Officer: Ms. Patricia 

Toppings. 

Written requests for copies of the 

information collection proposal should 

be sent to Ms. Toppings at WHS/ESD/ 

Information Management Division, 1777 

North Kent Street, RPN, Suite 11000, 

Arlington, VA 22209–2133. 

Dated: September 21, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23734 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF EDUCATION 

Notice of Proposed Information 

Collection Requests 

AGENCY: Department of Education. 

ACTION: Notice of proposed information 

collection requests. 

SUMMARY: 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: An emergency review has been 

requested in accordance with the Act 


PWALKER on DSK8KYBLC1PROD with NOTICES