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

Forms and Documents

Document	Type	Status	Availability
Form 1 THCGME Reconciliation Tool Form	Form	Modified	Available
Comment 10_Public 09.22.2025.pdf	Public Comments	Uploaded 2025-09-22	Repair queued
Comment 9_Brennan Burke Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 9_Brennan Burke 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 8_Lloyd Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 8_Lloyd 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 7_Spadaro Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 7_Spadaro 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 6_Starkey Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 6_Starkey 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 5_Riley Transmittal 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 5_Riley 07152025.pdf	Public Comments	Uploaded 2025-07-15	Repair queued
Comment 4_Linderbaum Transmittal 07152025.pdf	Public Comments	Uploaded 2025-09-17	Repair queued
Comment 4_Linderbaum 07152025.pdf	Public Comments	Uploaded 2025-09-17	Repair queued
Comment 3_Public_05192025.pdf	Public Comments	Uploaded 2025-05-16	Repair queued
Comment 2_Weida Transmittal 07142025.pdf	Public Comments	Uploaded 2025-07-14	Repair queued
Comment 2_Weida 07142025.pdf	Public Comments	Uploaded 2025-07-14	Repair queued
Comment 1_Kuntz Transmittal 07142025.pdf	Public Comments	Uploaded 2025-07-14	Repair queued
Comment 1_Kuntz 07142025.pdf	Public Comments	Uploaded 2025-07-14	Repair queued
THCGME Rec Tool SSA 0915-0342 09.22.2025.docx	Supporting Statement A	Uploaded 2025-09-23	Repair queued
THCGME Rec Tool SSA 0915-0342.docx	Supporting Statement A	Uploaded 2025-09-17	Repair queued

IC Document Collections

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: 202509-0915-002
Status: Active	Previous ICR Reference No: 202302-0915-005
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: 12/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/18/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2028	36 Months From Approved	04/30/2026
Responses	87	0	83
Time Burden (Hours)	435	0	166
Cost Burden (Dollars)	0	0	0

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Abstract: The Teaching Health Center Graduate Medical Education (THCGME) Program, Section 340H of the Public Health Service Act, was established by Section 5508 of Public Law 111–148. The Bipartisan Budget Act of 2018 (P.L. 115-123) provided continued funding for the THCGME Program for fiscal years 2018 and 2019 and the Further Consolidated Appropriations Act, 2020 (P.L. 116-94) extends funding for the THCGME program until May 22, 2020. The THCGME Program awards payment for both direct and indirect expenses to support training for primary care residents in community-based ambulatory patient care settings. 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:
	90 FR 21051	05/16/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 44829	09/17/2025
Did the Agency receive public comments on this ICR? Yes

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

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

	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	87	83	0	4	0	0
Annual Time Burden (Hours)	435	166	0	269	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: Although there are no revisions to the form itself the burden is increasing as there are more awardees for the program. The proposed increase is due to an increase in the number of program award recipients as well as the average burden per response. Grant recipient burden hours can vary greatly based on the number of their awarded resident full-time equivalents. Some commenters on the 60-day FRN indicated the average burden response was too low, the average burden was increased to take into account larger award recipients. HRSA adjusted the burden hours to reflect grant recipients with smallest and largest awarded resident FTEs within calculated average.

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Annual Cost to Federal Government: $162,243

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: 09/18/2025

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