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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
1. Wage Estimates In the FY 2020 IPF PPS final rule 84
FR 38468, which was the most recent rule in which we adopted updates to the IPFQR Program, we estimated that reporting measures for the IPFQR
Program could be accomplished by a Medical Records and Health Information Technician BLS
Occupation Code: 292071 with a median hourly wage of $18.83/hr May 2017. In May 2019, the U.S. Bureau of Labor Statistics BLS revised their $18.83/hr wage figure to $20.50/hr May
2019.167 In response, we proposed to adjust our cost estimates using the updated median wage rate figure of $20.50/hr., an increase of $1.67/hr. We are finalizing our proposal to use the $20.50/hr wage in this FY 2022 final rule.
Under OMB Circular A76, in calculating direct labor, agencies should not only include salaries and wages, but also other entitlements such as fringe benefits and overhead.168 Consistent with our past approach, we continue to calculate the cost of fringe benefits and overhead at 100 percent of the median
hourly wage 81 FR 57266. This is necessarily a rough adjustment, both because fringe benefits and overhead costs vary significantly from employer to employer, and methods of estimating these costs vary widely from study to study. Therefore, using these assumptions, we estimate an hourly labor cost increase from $37.66/hr $18.83/hr base salary + $18.83/hr fringe benefits and overhead to $41.00/hr $20.50/hr base salary + $20.50/hr fringe benefits and overhead. Table 8 presents these assumptions.

a. Currently Approved Burden For a detailed discussion of the burden for the IPFQR Program requirements that we have previously adopted, we refer readers to the following rules:
The FY 2013 IPPS/LTCH PPS final rule 77 FR 53673;
The FY 2014 IPPS/LTCH PPS final rule 78 FR 50964;
The FY 2015 IPF PPS final rule 79
FR 45978 through 45980;
The FY 2016 IPF PPS final rule 80
FR 46720 through 46721;
The FY 2017 IPPS/LTCH PPS final rule 81 FR 57265 through 57266;
The FY 2018 IPPS/LTCH PPS final rule 82 FR 38507 through 38508;

The FY 2019 IPF PPS final rule 83
FR 38609 through 38612; and The FY 2020 IPF PPS final rule 84
FR 38468 through 38476.
Tables 9, 10, and 11 provide an overview of our currently approved burden. These tables use our previous estimate of $37.66/hr $18.83/hr base salary plus $18.83/hr fringe benefits and overhead hourly labor cost. For more information on our currently approved burden estimates, please see Supporting Statement A on the Office of Information and Regulatory Affairs OIRA website.169

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In subsection 2.a., we restate our currently approved burden estimates. In subsection 2.b., we estimate the adjustments in burden associated with the updated BLS wage rate, our facility estimates, and our case estimates. In subsection 2.c., we estimate the changes in burden associated with the finalized policies in this rule. Finally, in subsection 2.d., we provide an overview of the total estimated burden.

167 https www.bls.gov/oes/current/
oes292098.htm Accessed on June 28, 2021.

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2. ICRs Regarding the Inpatient Psychiatric Facility Quality Reporting IPFQR Program