[Federal Register Volume 74, Number 204 (Friday, October 23, 2009)]
[Notices]
[Pages 54823-54824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-25572]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-64]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to

[[Page 54824]]

minimize the information collection burden.
    1. Type of Information Collection Request: Extension of the 
currently approved collection; Title of Information Collection: 
Indirect Medical Education (IME) and Supporting Regulations at 42 CFR 
412.105; Direct Graduate Medical Education (GME) and Supporting 
Regulations at 42 CFR 413.75 through 413.83; Use: The information 
collected on interns and residents (IRs) is used by the Medicare Part A 
fiscal intermediaries (FI) and Part A Medicare Administrative 
Contractors (MAC) to verify the number of IRs used in the calculation 
of Medicare program payments for indirect medical education (IME) as 
well as direct graduate medical education (GME). The IR data collected 
from the hospitals is processed through computers at FIs/MACs to 
identify any duplicated time based upon the accumulated time of each 
individual that worked at one or more hospitals. The identification of 
duplicate IRs is necessary to ensure that no IR is counted more than 
once.
    The FIs/MACs use the information collected on IRs to help ensure 
that all program payments for IME and GME are based upon an accurate 
number of FTE-IRs, determined in accordance with Medicare regulations. 
The IR data submitted by the hospitals are used by the FIs/MACs during 
their audits of the providers' cost reports. The audit procedures help 
assure that the information reported was correct, and that IRs who 
should not have been reported by the hospitals (or portions of the IRs' 
time) are not included in the FTE count. The FIs/MACs also use reports 
of duplicate IRs to prevent improper payment for IME and GME. Form 
Number: CMS-R-64 (OMB<greek-i>: 0938-0456); Frequency: Reporting--
Yearly; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 1,190; Total Annual 
Responses: 1,190; Total Annual Hours: 2,380. (For policy questions 
regarding this collection contact Milton Jacobson at 410-786-7553. For 
all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site at http://www.cms.hhs.gov/PaperworkReductionActof1995, or E-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#f0a091809582879f829bb0939d83de989883de979f86"><span class="__cf_email__" data-cfemail="297948594c5b5e465b42694a445a0741415a074e465f">[email protected]</span></a>, or call the 
Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by December 22, 2009:
    1. Electronically. You may submit 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) 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, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: October 16, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-25572 Filed 10-22-09; 8:45 am]
BILLING CODE 4120-01-P


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