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Federal Register / Vol. 86, No. 137 / Wednesday, July 21, 2021 / Notices ANNUAL BURDEN ESTIMATES
2 year clearance Number of respondents total over request period
Instrument
Classroom/home visitor sampling form from EHS staff
Child roster form from EHS staff
Parent consent form
Parent survey
Parent Child Report
Staff survey Teacher survey and Home Visitor survey
Staff Child Report
Program director survey
Center director survey
Parent-child interaction

Estimated Total Annual Burden Hours: 1,824.
Comments: The Department specifically requests comments on a whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility;
b the accuracy of the agencys estimate of the burden of the proposed collection of information; c the quality, utility, and clarity of the information to be collected; and d ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Consideration will be given to comments and suggestions submitted within 60 days of this publication.
Authority: Sec. 645A and 649 of the Improving Head Start for School Readiness Act of 2007.
Mary B. Jones, ACF/OPRE Certifying Officer.
FR Doc. 202115509 Filed 72021; 8:45 am BILLING CODE 418422P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services Administration National Practitioner Data Bank:
Change in User Fees Health Resources and Services Administration HRSA, Department of Health and Human Services.
ACTION: Notice.

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AGENCY:

HRSA, a sub-agency of the Department of Health and Human Services, is announcing a change in user fees charged to individuals and entities
SUMMARY:

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17:26 Jul 20, 2021

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Number of responses per respondent total over request period
407
252
2,495
2,084
2,008
1,317
1,046
120
294
996

1
1 1
1 1
1 2.13
1 1
1

authorized to request information from the National Practitioner Data Bank NPDB. The new fee will be $2.50 for both continuous and one-time queries and $3.00 for self-queries. In addition, as self-query results are now digitally certified, the NPDB will no longer automatically provide a mailed paper copy of self-query results. If selfqueriers would like paper copies mailed to them, there will be an additional $3.00 charge per copy. The change in NPDB user fees is intended to encourage electronic processing while both ensuring sufficient funding to the full cost of NPDB operations and retaining appropriate cash reserves. The cash reserves are used to mitigate risks, cover operational costs should revenue decrease, and cover the cost of reasonable enhancement and maintenance of the NPDB management system. HRSA operational standards require review of 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.
DATES: This change will be effective October 1, 2021.
FOR FURTHER INFORMATION CONTACT:
David Loewenstein, Director, Division of Practitioner Data Bank, Bureau of Health Workforce, HRSA, 301 443
2300, NPDBPolicy@hrsa.gov.
SUPPLEMENTARY INFORMATION: The current fee structure $2.00/continuous query enrollment, $2.00/one-time query, and $4.00/self-query was announced in the Federal Register on July 20, 2016
81 FR 47173, and became effective on
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Average burden per response in hours 0.17
0.33
0.17
0.53
0.33
0.5
0.25
0.5
0.5
0.17

Total burden in hours
69
83
424
1,105
663
659
262
60
147
169

Annual burden in hours
35
42
212
553
332
330
131
30
74
85

October 1, 2016. One-time queries, continuous query enrollments, and selfqueries are submitted and query responses are received through the NPDBs secure website. 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 99660, 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. 1396r2 and Section 1128E of the Social Security Act, as amended 42 U.S.C. 1320a7e.
Information collected under the Section 1128E authority was consolidated within the NPDB pursuant to Section 6403 of the Affordable Care Act, Public Law 111148; this consolidation became effective on May 6, 2013.
42 U.S.C. 11137b4, 42 U.S.C.
1396r2e, and 42 U.S.C. 1320a7ed 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 60.19b of the regulations. Section 60.19b 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,
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