Evaluation of the Graduate Nurse Education Demonstration Program (CMS-10467)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10467 Quantitative Data Collection	Form and Instruction	Removed	Available
Form CMS-10467 Data Collection	Form and Instruction	Modified	Available
2nd Passback CMS-10467 Evaluation of GNE Demo Supporting Statement B_CLEAN_TO CMS.docx	Supporting Statement B	Uploaded 2016-09-06	Available
CMS Response to Public Comments 01_11_16.docx	Supplementary Document	Uploaded 2016-01-21	Available
2nd Passback CMS-10467 Evaluation of GNE Demo Supporting Statement A_CLEAN_TO CMS.docx	Supporting Statement A	Uploaded 2016-09-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207737	Quantitative Data Collection	Form and Instruction	Removed
207736	Data Collection	Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1212	ICR Reference No: 201601-0938-003
Status: Historical Active	Previous ICR Reference No: 201307-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No: 19957
Title: Evaluation of the Graduate Nurse Education Demonstration Program (CMS-10467)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/18/2016
	Date Received in OIRA: 01/21/2016
Terms of Clearance: Pursuant to 5 CFR 1320, on the condition that all required data collection instruments associated with the information collection request display OMB control number and current expiration date, the information collection is approved for three (3) years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	36 Months From Approved	10/31/2016
Responses	104	0	595
Time Burden (Hours)	802	0	6,740
Cost Burden (Dollars)	0	0	0

---

Abstract: The Graduate Nurse Education Demonstration (GNE) project is mandated under Section 5509 of the Affordable Care Act (ACA) under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). Section 5509 of the ACA requires to conduct a research evaluation study of the GNE project. Per the ACA mandate, the evaluation study will include an analysis of the following at a minimum: (1) Growth in the number of advanced practice registered nurses (APRNs) with respect to a specific base year as a result of the demonstration; (2) growth for each of the following specialties: clinical nurse specialist, nurse practitioner, certified nurse anesthetist, certified nurse midwife; and (3) costs to the Medicare program as result of the demonstration. The purpose of this request is to revise the data collection efforts, specifically to reduce the data collection burden. Quantitative and qualitative data will be collected from each of the hospitals, SONS, and CCSs in the 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: APRN applicants, current students, and alumni Preceptors Nursing faculty Partner hospitals SONs CCSs

---

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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 62534	10/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 2868	01/19/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Data Collection	CMS-10467, CMS-10467, CMS-10467	Attachment 2: Qualitative Data Collection Protocol ,   Verbal Consent Statement ,   Qualitative Data Collection Protocols
Quantitative Data Collection	CMS-10467	Quantitative Data Collection Protocol

---

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	104	595	0	-491	0	0
Annual Time Burden (Hours)	802	6,740	0	-5,938	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The program changes/adjustments that affect burden include reducing the overall number of respondents, adjustments to the data collection instruments, and site visits will no longer be conducted with each demonstration network. Currently, the CMS is approved for 6,740 burden hours. With this ICR, the total burden hours for all years for the Evaluation of the Graduate Nurse Education Demonstration Program is approximately 2,405 (802 annual) hours, which is a decrease in burden.

---

Annual Cost to Federal Government: $107,409

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

---

Common Form ICR:  No

---

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: 01/21/2016

---