Evaluation of the Graduate Nurse Education Demonstration Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10467 Quantitative Data Collection	Form and Instruction	New	Available
Form CMS-10467 Qualititative Data Collection	Form and Instruction	New	Available
CMS Response to Public Comments Received for CMS 06172013.docx	Supplementary Document	Uploaded 2013-07-08	Available
CMS-10467 Supporting Statement Part A.pdf	Supporting Statement A	Uploaded 2013-07-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207737	Quantitative Data Collection	Form and Instruction	New
207736	Qualititative Data Collection	Form and Instruction	New

ICR Details

OMB Control No: 0938-1212	ICR Reference No: 201307-0938-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: 19957
Title: Evaluation of the Graduate Nurse Education Demonstration Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/06/2013
	Date Received in OIRA: 07/11/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved
Responses	595	0	0
Time Burden (Hours)	6,740	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The demand for Advanced Practice Registered Nurse(APRN)-provided care has increased in recent years because of the shortage of primary-care physicians and the rise in the demand for primary-care services and expected to continue increasing as more Americans acquire access to health care coverage due to the Affordable Care Act. The Graduate Nurse Education Demonstration aims to increase the supply of APRNs in the U.S. health care delivery system by providing Medicare payments to five selected hospitals for the reasonable cost of providing clinical training to APRN students. This demonstration also involves the creation of partnerships between hospitals, schools of nursing (SONs), and community-based care settings (CCSs). The program evaluation will determine: 1. The growth in the number of APRNs with respect to a specific base year as a result of the demonstration. 2. The growth for each of the following specialties: clinical nurse specialist, nurse practitioner, certified nurse anesthetist, certified nurse-midwife. 3. The costs to the Medicare program as result of the demonstration. The former will analyze the implementation of the demonstration and allow for course corrections during the demonstration period. The latter evaluation will measure the change in key data elements from baseline. Data pertaining to all stages of the demonstration, including historical, baseline, transition, implementation and post-implementation stages are needed. The purpose of this data collection is, thus, to obtain quantitative and qualitative data from the hospitals, SONS, CCSs of five demonstration sites. The qualitative data will be obtained through key stakeholder interviews, small discussion groups and focus groups, and telephone interviews with administrators, preceptors, and APRN students. Quantitative data elements include characteristics of: o APRN applicants, current students, and alumni o Preceptors o Nursing faculty o Partner hospitals o SONs o CCSs

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Authorizing Statute(s): PL: Pub.L. 111 - 148 5509 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 5509 Name of Law: Affordable Care Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 20321	04/04/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 38983	06/28/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Qualititative Data Collection	CMS-10467, CMS-10467, CMS-10467, CMS-10467, CMS-10467	Consent Form for Key Informant Interviews and Focus Groups ,   Consent Form for Student Focus Groups ,   GNE Qualitative Data Collection Protocols for First In-Person Site Visit ,   GNE Qualititave Data Collection Protocols for Interim Check-in ,   GNE Qualitative Data Collection Protocols for Second In-Person Site Visit
Quantitative Data Collection	CMS-10467	Quantitative Data Collection Protocol

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	595	0	595	0	0	0
Annual Time Burden (Hours)	6,740	0	6,740	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a new collection

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Annual Cost to Federal Government: $999,241

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/11/2013

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