Reconciliation Tool for the Teaching Health Center Graduate Medical Education (THCGME) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 THCGME Reconciliation Tool Form	Form	Modified	Available
Supporting Statement - THCGME Reconciliation Tool .docx	Supporting Statement A	Uploaded 2023-02-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197986	Reconciliation Tool for the Teaching Health Center Graduate Medical Education Program	Form	Modified	THCGME Reconciliation Tool Form
197986	Reconciliation Tool for the Teaching Health Center Graduate Medical Education Program	Instruction	Modified

ICR Details

OMB Control No: 0915-0342	ICR Reference No: 202302-0915-005
Status: Historical Active	Previous ICR Reference No: 202005-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Reconciliation Tool for the Teaching Health Center Graduate Medical Education (THCGME) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/24/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved	06/30/2023
Responses	83	0	58
Time Burden (Hours)	166	0	116
Cost Burden (Dollars)	0	0	0

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Abstract: The THCGME program statute provides that eligible Teaching Health Centers receive payments for both direct and indirect costs associated with training residents in community-based ambulatory patient care centers. THCGME payments are prospective payments and the statute provides for a reconciliation process, through which overpayments may be recouped. This data collection tool will gather information relating to THCGME-supported resident FTEs in order to reconcile payments. The likely responders are existing THCGME awardees.

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Authorizing Statute(s): US Code: 42 USC Section 340H Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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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:
	87 FR 76204	12/13/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 11921	02/24/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Reconciliation Tool for the Teaching Health Center Graduate Medical Education Program	1	THCGME Reconciliation Tool Form

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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	83	58	0	25	0	0
Annual Time Burden (Hours)	166	116	0	50	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: No

Burden Reduction Due to:

Short Statement: There is a fifty hour increase in the total burden hours estimate due to an increase in the number of respondents.

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Annual Cost to Federal Government: $10,047

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 02/24/2023

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