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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
TABLE 13: Non-Measure Data Collection and Reporting Burden Based on Updated Wage Rate Facili Count and Case Count
1,634

13,354,682 8,173
responses per facility 1,634 facilities
3,338,671

136,885,491

1,634

6,536 4 responses per facility 1,634
facilities
3,268

133,988

BILLING CODE 412001C

c. Changes in Burden due to This Final Rule 1 Updates Due to Final Measure Adoptions
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In section IV.E of this preamble, we are adopting the following two measures:
COVID19 Vaccination Among HCP
for FY 2023 Payment Determination and Subsequent Years; and Follow-Up After Psychiatric Hospitalization FAPH for FY 2024
Payment Determination and Subsequent Years.
We are adopting the COVID19
Vaccination among HCP measure beginning with an initial reporting period from October 1 to December 31, 2021 affecting the FY 2023 payment determination followed by quarterly reporting beginning with the FY 2024
payment determination and subsequent years. IPFs will submit data through the CDCs NHSN. The NHSN is a secure, internet-based system that is maintained by the CDC and provided free. The CDC
does not estimate burden for COVID19
vaccination reporting since the department has been granted a waiver under Section 321 of the National Childhood Vaccine Injury Act of 1986
NCVIA.170
170 Section 321 of the National Childhood Vaccine Injury Act NCVIA provides the PRA
waiver for activities that come under the NCVIA, including those in the NCVIA at section 2102 of the Public Health Service Act 42 U.S.C. 300aa2.
Section 321 is not codified in the U.S. Code, but can be found in a note at 42 U.S.C. 300aa1.

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Although the burden associated with the COVID19 HCP Vaccination measure is not accounted for due to the NCVIA waiver, the burden is set forth here and will be accounted for by the CDC under OMB control number 0920
1317.
Consistent with the CDCs experience of collecting data using the NHSN, we estimate that it will take each IPF on average approximately 1 hour per month to collect data for the COVID19
Vaccination Coverage among HCP
measure and enter it into NHSN. We have estimated the time to complete this entire activity, since it could vary based on provider systems and staff availability. This burden is comprised of administrative time and wages. We believe it would take an Administrative Assistant 171 between 45 minutes 0.75
hr and 1 hour and 15 minutes 1.25 hr to enter the data into NHSN. For the CY
2021 reporting period consisting of October 1, 2021 through December 31, 2021 3 months are required. For the CY
2021 reporting period/FY 2023 payment determination, IPFs would incur an additional burden between 2.25 hours 0.75 hours 3 responses at 1 response per month and 3.75 hours 1.25 hours 3 responses at 1 response per month per IPF. For all 1,634 IPFs, the total time would range from 3,676.5 hours 2.25
171 https www.bls.gov/oes/current/
oes436013.htm accessed on March 30, 2021. The hourly rate of $36.62 includes an adjustment of 100
percent of the median hourly wage to account for the cost of overhead, including fringe benefits.

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hours 1,634 IPFs and 6,127.5 hours 3.75 hours 1,634 IPFs.
Each IPF would incur an estimated cost of between $27.47 0.75 hour
$36.62/hr and $45.78 1.25 hours
$36.62/hr monthly and between $82.40
2.25 hours $36.62/hr and $137.33
3.75 hours $36.62/hr in total over the CY 2021 reporting period to complete this task. Thereafter, 12 months of data are required annually. Therefore, IPFs would incur an additional annual burden between 9 hours 0.75 hours/
month 12 months and 15 hours 1.25
hours/month 12 months per IPF and between 14,706 hours 9 hours/IPF
1,634 IPFs and 24,510 hours 15 hours/
IPF 1,634 IPFs for all IPFs. Each IPF
would incur an estimated cost of between $329.58 9 hours $36.62/hr and $549.30 annually 15 hours
$36.62/hr. The estimated cost across all 1,634 IPFs would be between $134,641.60 $82.40/IPF 1,634 IPFs and $224,397.22 $137.33/IPF 1,634
IPFs for the CY 2021 reporting period.
The estimated cost across all 1,634 IPFs would be between $538,533.72
$329.58/IPF 1,634 IPFs and $897,556.20 $549.30/IPF 1,634 IPFs annually thereafter. Since the burden falls under the authority of the CDC, we have not added such burden to Table 16.
We recognize that many healthcare facilities are also reporting other COVID19 data to HHS. We believe the benefits of requiring IPFs to report data on the COVID19 HCP Vaccination measure to assess whether they are taking steps to limit the spread of
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ER04AU21.184

Measure Data Collection and Reporting See Table 12
Non-Measure Data Collection and Reporting
ER04AU21.185

Non-measure Data Collection and Submission