The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart

Forms and Documents

Document Name	Status
Form 1 Eligible Resident/Fellow FTE Chart and Instructions Form and Instruction	New
Form 1 The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart Form and Instruction	Removed
THCGME Eligible Resident-Fellow FTE Chart - Supporting Statement A FINAL.docx Supporting Statement A	2022-10-06

IC Document Collections

IC ID	Document Title	Status
256297	Eligible Resident/Fellow FTE Chart and Instructions Form and Instruction	New
208130	The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart Form and Instruction	Removed

ICR Details

OMB Control No: 0915-0367	ICR Reference No: 202210-0915-004
Status: Received in OIRA	Previous ICR Reference No: 201909-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No: 20121
Title: The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/06/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2022
Responses	90	90
Time Burden (Hours)	113	90
Cost Burden (Dollars)	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 Consolidated Appropriations Act, 2021 (P.L. 116-260) and the American Rescue Plan Act of 2021 (P.L. 117-2) provided continued funding for the THCGME Program. 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. The THCGME Program Eligible Resident/Fellow Full-Time Equivalents (FTE) Chart, published in the THCGME Notice of Funding Opportunity (NOFO), is a means for determining the number of eligible resident/fellow FTE’s in an applicant’s primary care residency program. The FTE Chart revisions will now collect the number of resident/fellow FTEs from previous academic years and will further clarify the number of resident/fellow FTEs positions requested with the NOFO application.

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Authorizing Statute(s): PL: Pub.L. 116 - 260 0 Name of Law: The Consolidated Appropriation Act of 2021
   PL: Pub.L. 111 - 148 5508 Name of Law: Patient Protection and Affordable Care Act of 2010
   PL: Pub.L. 117 - 2 0 Name of Law: The American Rescue Plan Act of 2021
  

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 37876	06/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 56690	09/15/2022
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Eligible Resident/Fellow FTE Chart and Instructions	1	Form and Instructions for THCGME FTE Chart
The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart	1	Form and Instructions for THCGME FTE Chart

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ICR Summary of Burden

	Total Request	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	90	90	0	0	0	0
Annual Time Burden (Hours)	113	90	0	23	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 form requests additional historical information (4 years of additional academic year data) as well as data on the proposed number of new resident FTEs that are being requested with the Notice of Funding Opportunity (NOFO) application. This will result in a slight increase in the burden hours.

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Annual Cost to Federal Government: $8,661

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: 10/06/2022

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