81_FR_47312 81 FR 47173 - National Practitioner Data Bank: Change in User Fees

81 FR 47173 - National Practitioner Data Bank: Change in User Fees

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 81, Issue 139 (July 20, 2016)

Page Range47173-47174
FR Document2016-17117

The Health Resources and Services Administration, Department of Health and Human Services, is announcing a decrease in user fees charged to individuals and entities authorized to request information from the National Practitioner Data Bank (NPDB). The new fee will be $2.00 for both continuous and one-time queries and $4.00 for self- queries. The reduction in NPDB user fees is intended to encourage new users while ensuring sufficient funds to the full cost of NPDB operations and retain appropriate cash reserves. The goals of the cash reserves are to mitigate risks, cover operational costs should revenue decrease, and cover the cost of reasonable enhancement and maintenance of the NPDB management system. HRSA has the standard operating procedure of reviewing NPDB user fees every 2 years. The biennial review of NPDB user fees offers HRSA the opportunity to evaluate its reserves as well as revenue relative to costs. Further, the review provides essential information on whether the fee rates and authorized activities are aligned with actual program costs and activities, and can help promote greater understanding of the fee by NPDB users.

Federal Register, Volume 81 Issue 139 (Wednesday, July 20, 2016)
[Federal Register Volume 81, Number 139 (Wednesday, July 20, 2016)]
[Notices]
[Pages 47173-47174]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-17117]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


National Practitioner Data Bank: Change in User Fees

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Health Resources and Services Administration, Department 
of Health and Human Services, is announcing a decrease in user fees 
charged to individuals and entities authorized to request information 
from the National Practitioner Data Bank (NPDB). The new fee will be 
$2.00 for both continuous and one-time queries and $4.00 for self-
queries. The reduction in NPDB user fees is intended to encourage new 
users while ensuring sufficient funds to the full cost of NPDB 
operations and retain appropriate cash reserves. The goals of the cash 
reserves are to mitigate risks, cover operational costs should revenue 
decrease, and cover the cost of reasonable enhancement and maintenance 
of the NPDB management system.
    HRSA has the standard operating procedure of reviewing NPDB user 
fees every 2 years. The biennial review of NPDB user fees offers HRSA 
the opportunity to evaluate its reserves as well as revenue relative to 
costs. Further, the review provides essential information on whether 
the fee rates and authorized activities are aligned with actual program 
costs and activities,

[[Page 47174]]

and can help promote greater understanding of the fee by NPDB users.

DATES: This change will be effective October 1, 2016.

FOR FURTHER INFORMATION CONTACT: Director, Division of Practitioner 
Data Bank, Bureau of Health Workforce, Health Resources and Services 
Administration, 5600 Fishers Lane, Room 11N37, Rockville, MD 20857; 
telephone number: (301) 443-2300.

SUPPLEMENTARY INFORMATION: The current fee structure ($3.00/continuous 
query enrollment, $3.00/one-time query, and $5.00/self-query) was 
announced in the Federal Register on April 18, 2014 (79 FR 75), and 
became effective on October 1, 2014. One-time queries, continuous query 
enrollments, and self-queries are submitted and query responses are 
received through the NPDB's secure Web site. Fees are paid via 
electronic funds transfer, debit card, or credit card.
    The NPDB is authorized by the Health Care Quality Improvement Act 
of 1986 (the Act), Title IV of Public Law 99-660, as amended (42 U.S.C. 
11101 et seq.). Further, two additional statutes expanded the scope of 
the NPDB--Section 1921 of the Social Security Act, as amended (42 
U.S.C. 1396r-2) and Section 1128E of the Social Security Act, as 
amended (42 U.S.C. 1320a-7e). Information collected under the Section 
1128E authority was consolidated within the NPDB pursuant to Section 
6403 of the Affordable Care Act, Public Law 111-148; this consolidation 
became effective on May 6, 2013.
    42 U.S.C. 11137(b)(4), 42 U.S.C. 1396r-2(e), and 42 U.S.C. 1320a-
7e(d) authorize the establishment of fees for the costs of processing 
requests for disclosure of such information. Final regulations at 45 
CFR part 60 set forth the criteria and procedures for information to be 
reported to and disclosed by the NPDB. In determining any changes in 
the amount of user fees, the Department uses the criteria set forth in 
section 60.19(b) of the regulations. Section 60.19(b) states:

    ``The amount of each fee will be determined based on the 
following criteria:
    (1) Direct and indirect personnel costs, including salaries and 
fringe benefits such as medical insurance and retirement,
    (2) Physical overhead, consulting, and other indirect costs 
(including materials and supplies, utilities, insurance, travel, and 
rent and depreciation on land, buildings, and equipment),
    (3) Agency management and supervisory costs,
    (4) Costs of enforcement, research, and establishment of 
regulations and guidance,
    (5) Use of electronic data processing equipment to collect and 
maintain information--the actual cost of the service, including 
computer search time, runs and printouts, and
    (6) Any other direct or indirect costs related to the provision 
of services.''

    The Department will continue to review the user fees periodically 
as required by Office of Management and Budget Circular Number A-25 and 
will revise fees as necessary. Any future changes in user fees and 
their effective dates will be announced in the Federal Register.

    Dated: July 14, 2016.
James Macrae,
Acting Administrator.
[FR Doc. 2016-17117 Filed 7-19-16; 8:45 am]
 BILLING CODE 4165-15-P



                                                                                         Federal Register / Vol. 81, No. 139 / Wednesday, July 20, 2016 / Notices                                                               47173

                                                    Dated: July 15, 2016.                                                      OMB No.: 0970–0085.                                         National Conference of Commissioners
                                                  Kevin Kampschroer,                                                           Description: The Intergovernmental                          on Uniform State Laws’’ (UIFSA 2008).
                                                  Federal Director, Office of Federal High-                                  forms were initially approved by OMB                          Section 311(b) of UIFSA 2008 requires
                                                  Performance Green Buildings, Office of                                     in 1988; 45 CFR 303.7 requires child                          the States and jurisdictions to use forms
                                                  Government-wide Policy.                                                    support programs to use the OMB                               mandated by Federal law.
                                                  [FR Doc. 2016–17145 Filed 7–19–16; 8:45 am]                                federally-approved forms in                                     The current intergovernmental forms
                                                  BILLING CODE 6820–14–P                                                     intergovernmental IV–D cases unless a                         will expire in February 2017. The
                                                                                                                             country has provided alternative forms                        revised forms included in this
                                                                                                                             as a part of its chapter in a Caseworker’s                    submission to OMB incorporate many of
                                                  DEPARTMENT OF HEALTH AND                                                   Guide to Processing Cases with Foreign
                                                                                                                                                                                           the revisions requested by commenters
                                                  HUMAN SERVICES                                                             Reciprocating Countries. Additionally,
                                                                                                                                                                                           during the 60-day comment period,
                                                                                                                             Public Law (Pub. L.) 113–183, the
                                                  Administration for Children and                                                                                                          which started August 4, 2015 (Federal
                                                                                                                             Preventing Sex Trafficking and
                                                  Families                                                                   Strengthening Families Act of 2014                            Register, Volume 80, Number 149, page
                                                                                                                             amended the Social Security Act to                            46286).
                                                  Submission for OMB Review;
                                                                                                                             require U.S. states, the District of                            Respondents: State, local, or Tribal
                                                  Comment Request
                                                                                                                             Columbia, Guam, Puerto Rico, and the                          agencies administering a child support
                                                    Title: 45 CFR 303.7—Provision of                                         U.S. Virgin Islands to enact any                              enforcement program under title IV–D
                                                  Services in Intergovernmental IV–D;                                        amendments to UIFSA ‘‘officially                              of the Social Security Act.
                                                  Federally Approved Forms.                                                  adopted as of September 30, 2008 by the

                                                                                                                                      ANNUAL BURDEN ESTIMATES
                                                                                                                                                                                           Number of          Average
                                                                                                                                                                          Number of                                        Total burden
                                                                                                   Instrument                                                                            responses per      burden hours
                                                                                                                                                                         respondents                                          hours
                                                                                                                                                                                           respondent       per response

                                                  Transmittal #1—Initial Request .......................................................................                            54             19,440           0.17        178,459
                                                  Transmittal #1—Initial Request Acknowledgement * .......................................                                          54             19,440           0.05         52,488
                                                  Transmittal #2—Subsequent Action ................................................................                                 54             14,580           0.08         62,986
                                                  Transmittal #3—Request for Assistance/Discovery ........................................                                          54              2,700           0.08         11,664
                                                  Uniform Support Petition .................................................................................                        54              6,480           0.05         17,496
                                                  General Testimony ..........................................................................................                      54              6,480           0.33        115,474
                                                  Declaration in Support of Establishing Parentage ...........................................                                      54              2,700           0.15         21,870
                                                  Locate Data Sheet ...........................................................................................                     54                388           0.05          1,048
                                                  Notice of Determination of Controlling Order ..................................................                                   54                 54           0.25            729
                                                  Letter of Transmittal Requesting Registration .................................................                                   54             14,310           0.08         61,819
                                                  Personal Information Form For UIFSA § 311 * ................................................                                      54             27,000           0.05         72,900
                                                  Child Support Agency Confidential Information Form * ...................................                                          54             37,584           0.05        101,477
                                                  Request for Change of Support Payment Location Pursuant to UIFSA
                                                    319(b) * .........................................................................................................              54             27,000           0.05         72,900



                                                   Estimated Total Annual Burden                                             Management and Budget, Paperwork                              announcing a decrease in user fees
                                                  Hours: 771,309.                                                            Reduction Project, Email: OIRA_                               charged to individuals and entities
                                                                                                                             SUBMISSION@OMB.EOP.GOV, Attn:                                 authorized to request information from
                                                  Additional Information
                                                                                                                             Desk Officer for the Administration for                       the National Practitioner Data Bank
                                                    Copies of the proposed collection may                                    Children and Families.                                        (NPDB). The new fee will be $2.00 for
                                                  be obtained by writing to the                                                                                                            both continuous and one-time queries
                                                                                                                             Robert Sargis,
                                                  Administration for Children and                                                                                                          and $4.00 for self-queries. The reduction
                                                                                                                             Reports Clearance Officer.                                    in NPDB user fees is intended to
                                                  Families, Office of Planning, Research
                                                  and Evaluation, 330 C Street SW.,                                          [FR Doc. 2016–17086 Filed 7–19–16; 8:45 am]                   encourage new users while ensuring
                                                  Washington, DC 20201. Attention                                            BILLING CODE 4184–01–P                                        sufficient funds to the full cost of NPDB
                                                  Reports Clearance Officer. All requests                                                                                                  operations and retain appropriate cash
                                                  should be identified by the title of the                                                                                                 reserves. The goals of the cash reserves
                                                  information collection. Email address:                                     DEPARTMENT OF HEALTH AND                                      are to mitigate risks, cover operational
                                                  infocollection@acf.hhs.gov.                                                HUMAN SERVICES                                                costs should revenue decrease, and
                                                                                                                             Health Resources and Services                                 cover the cost of reasonable
                                                  OMB Comment
                                                                                                                             Administration                                                enhancement and maintenance of the
                                                     OMB is required to make a decision                                                                                                    NPDB management system.
                                                  concerning the collection of information                                   National Practitioner Data Bank:                                HRSA has the standard operating
                                                  between 30 and 60 days after                                               Change in User Fees                                           procedure of reviewing NPDB user fees
                                                  publication of this document in the                                                                                                      every 2 years. The biennial review of
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                                                  Federal Register. Therefore, a comment                                     AGENCY: Health Resources and Services                         NPDB user fees offers HRSA the
                                                  is best assured of having its full effect                                  Administration, HHS.                                          opportunity to evaluate its reserves as
                                                  if OMB receives it within 30 days of                                       ACTION: Notice.                                               well as revenue relative to costs.
                                                  publication. Written comments and                                                                                                        Further, the review provides essential
                                                  recommendations for the proposed                                           SUMMARY:  The Health Resources and                            information on whether the fee rates
                                                  information collection should be sent                                      Services Administration, Department of                        and authorized activities are aligned
                                                  directly to the following: Office of                                       Health and Human Services, is                                 with actual program costs and activities,


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                                                  47174                        Federal Register / Vol. 81, No. 139 / Wednesday, July 20, 2016 / Notices

                                                  and can help promote greater                             information—the actual cost of the service,           advisorycommittees/bhpradvisory/
                                                  understanding of the fee by NPDB users.                  including computer search time, runs and              actpcmd/.
                                                                                                           printouts, and
                                                  DATES: This change will be effective                                                                           SUPPLEMENTARY INFORMATION:
                                                                                                             (6) Any other direct or indirect costs
                                                  October 1, 2016.                                         related to the provision of services.’’               ACTPCMD provides advice and
                                                  FOR FURTHER INFORMATION CONTACT:                                                                               recommendations to the Secretary of the
                                                  Director, Division of Practitioner Data                    The Department will continue to                     U.S. Department of Health and Human
                                                  Bank, Bureau of Health Workforce,                        review the user fees periodically as                  Services (Secretary) and ranking
                                                  Health Resources and Services                            required by Office of Management and                  members of the U.S. Senate Committee
                                                  Administration, 5600 Fishers Lane,                       Budget Circular Number A–25 and will                  on Health, Education, Labor and
                                                  Room 11N37, Rockville, MD 20857;                         revise fees as necessary. Any future                  Pensions, and the U.S. House of
                                                  telephone number: (301) 443–2300.                        changes in user fees and their effective              Representatives Committee on Energy
                                                                                                           dates will be announced in the Federal                and Commerce on matters concerning
                                                  SUPPLEMENTARY INFORMATION: The
                                                                                                           Register.                                             policy, program development, and other
                                                  current fee structure ($3.00/continuous
                                                  query enrollment, $3.00/one-time query,                    Dated: July 14, 2016.                               matters of significance concerning the
                                                  and $5.00/self-query) was announced in                   James Macrae,                                         activities under Sections 747 and 748,
                                                  the Federal Register on April 18, 2014                   Acting Administrator.                                 Part C of Title VII of the PHS Act, as
                                                  (79 FR 75), and became effective on                      [FR Doc. 2016–17117 Filed 7–19–16; 8:45 am]           amended. Meetings are held twice a
                                                  October 1, 2014. One-time queries,                       BILLING CODE 4165–15–P
                                                                                                                                                                 year.
                                                  continuous query enrollments, and self-                                                                           Specifically, HRSA is requesting
                                                  queries are submitted and query                                                                                nominations for voting members of
                                                  responses are received through the                       DEPARTMENT OF HEALTH AND                              ACTPCMD representing: Family
                                                  NPDB’s secure Web site. Fees are paid                    HUMAN SERVICES                                        medicine, general internal medicine,
                                                  via electronic funds transfer, debit card,                                                                     general pediatrics, physician assistant,
                                                  or credit card.                                          Health Resources and Services                         general dentistry, pediatric dentistry,
                                                     The NPDB is authorized by the Health                  Administration                                        public health dentistry, and dental
                                                  Care Quality Improvement Act of 1986                                                                           hygiene programs. Among these
                                                  (the Act), Title IV of Public Law 99–660,                Advisory Committee on Training in                     nominations, residents and/or fellows
                                                  as amended (42 U.S.C. 11101 et seq.).                    Primary Care Medicine and Dentistry;                  from these programs are encouraged to
                                                  Further, two additional statutes                         Notice for Request for Nominations                    apply. In making such appointments,
                                                  expanded the scope of the NPDB—                          SUMMARY:    The Health Resources and                  the Secretary will ensure a fair balance
                                                  Section 1921 of the Social Security Act,                 Services Administration (HRSA) is                     between the health professions, a broad
                                                  as amended (42 U.S.C. 1396r–2) and                       requesting nominations to fill vacancies              geographic of representation of
                                                  Section 1128E of the Social Security                     on the Advisory Committee on Training                 members, and a balance between urban
                                                  Act, as amended (42 U.S.C. 1320a–7e).                    in Primary Care Medicine and Dentistry                and rural members. Members will be
                                                  Information collected under the Section                  (ACTPCMD). ACTPCMD is authorized                      appointed based on their competence,
                                                  1128E authority was consolidated                         by Section 749 of the Public Health                   interest, and knowledge of the mission
                                                  within the NPDB pursuant to Section                      Service (PHS) Act (42 U.S.C. 293l), as                of the profession involved. The
                                                  6403 of the Affordable Care Act, Public                  amended. The Advisory Committee is                    Secretary will also ensure the adequate
                                                  Law 111–148; this consolidation became                   governed by provisions of the Federal                 representation of women and
                                                  effective on May 6, 2013.                                Advisory Committee Act (FACA) (5                      minorities.
                                                     42 U.S.C. 11137(b)(4), 42 U.S.C.                      U.S.C. Appendix 2), as amended, which                    The Department of Health and Human
                                                  1396r–2(e), and 42 U.S.C. 1320a–7e(d)                    sets forth standards for the formation                Services (HHS) will consider
                                                  authorize the establishment of fees for                  and use of advisory committees, and                   nominations of all qualified individuals
                                                  the costs of processing requests for                     applies to the extent that the provisions             with the areas of subject matter
                                                  disclosure of such information. Final                    of FACA do not conflict with the                      expertise noted above. Individuals may
                                                  regulations at 45 CFR part 60 set forth                  requirements of PHS Act Section 749.                  nominate themselves or other
                                                  the criteria and procedures for                                                                                individuals, and professional
                                                                                                           DATES: The agency will receive
                                                  information to be reported to and                                                                              associations and organizations may
                                                                                                           nominations on a continuous basis.                    nominate one or more qualified persons
                                                  disclosed by the NPDB. In determining
                                                                                                           ADDRESSES: All nominations should be                  for membership. Nominations shall state
                                                  any changes in the amount of user fees,
                                                  the Department uses the criteria set                     submitted to Advisory Council                         that the nominee is willing to serve as
                                                  forth in section 60.19(b) of the                         Operations, Bureau of Health                          a member of ACTPCMD and appears to
                                                  regulations. Section 60.19(b) states:                    Workforce, HRSA, 11W45C, 5600                         have no conflict of interest that would
                                                                                                           Fishers Lane, Rockville, Maryland                     preclude ACTPCMD membership.
                                                    ‘‘The amount of each fee will be                       20857. Mail delivery should be
                                                  determined based on the following criteria:
                                                                                                                                                                 Potential candidates will be asked to
                                                                                                           addressed to Advisory Council                         provide detailed information concerning
                                                    (1) Direct and indirect personnel costs,
                                                  including salaries and fringe benefits such as
                                                                                                           Operations, Bureau of Health                          financial interests, consultancies,
                                                  medical insurance and retirement,                        Workforce, HRSA, at the above address,                research grants, and/or contracts that
                                                    (2) Physical overhead, consulting, and                 or via email to:                                      might be affected by recommendations
                                                  other indirect costs (including materials and            BHWAdvisoryCouncilFRN@hrsa.gov.                       of ACTPCMD to permit evaluation of
                                                  supplies, utilities, insurance, travel, and rent         FOR FURTHER INFORMATION CONTACT: Joan                 possible sources of conflicts of interest.
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                                                  and depreciation on land, buildings, and                 Weiss, Ph.D., RN, CRNP, FAAN,                            A nomination package should include
                                                  equipment),                                              Designated Federal Official, ACTPCMD                  the following information for each
                                                    (3) Agency management and supervisory
                                                  costs,
                                                                                                           at 301–443–0430 or email at jweiss@                   nominee:
                                                    (4) Costs of enforcement, research, and                hrsa.gov. A copy of the current                          (1) A letter of nomination from an
                                                  establishment of regulations and guidance,               committee membership, charter, and                    employer, a colleague, or a professional
                                                    (5) Use of electronic data processing                  reports can be obtained by accessing the              organization stating the name,
                                                  equipment to collect and maintain                        Web site http://www.hrsa.gov/                         affiliation, and contact information for


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Document Created: 2018-02-08 07:57:23
Document Modified: 2018-02-08 07:57:23
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThis change will be effective October 1, 2016.
ContactDirector, Division of Practitioner Data Bank, Bureau of Health Workforce, Health Resources and Services Administration, 5600 Fishers Lane, Room 11N37, Rockville, MD 20857; telephone number: (301) 443-2300.
FR Citation81 FR 47173 

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