{"abstract":"In accordance with the requirements of the Privacy Act of 1974, we are proposing to modify or alter an SOR, \"Intern and Resident Information System (IRIS), No. 09-70-0524.\" We will broaden the scope of this system to include information on interns and residents (IRs) required in Title 42 Code of Federal Regulations (CFR) Sec. 412.105 (Special treatment: Hospitals that incur indirect costs for graduate medical education programs) and 42 CFR 413.86 (Direct graduate medical education payments). We are also deleting published routine use number 3 authorizing disclosures to contractors, number 6 authorizing disclosures to researchers, and an unnumbered routine use which authorizes the release of information to the Social Security Administration (SSA). Proposed routine use number 1 will now cover disclosures previously allowed by routine use number 3 pertaining to contractors. Access to the data from this system to SSA will be accomplished by adding a new routine use number 4, which authorizes release of information in this system to \"another Federal and/or state agency, agency of a state government, an agency established by state law, or its fiscal agent.\" Routine use number 6 authorizing release to researchers is being deleted because the very specific nature of the data collected is not sought for research purposes. The security classification previously reported as \"None\" will be modified to reflect that the data in this system are considered to be \"Level Three Privacy Act Sensitive.\" We are modifying the language in the remaining routine uses to provide clarity to CMS's intention to disclose individual-specific information contained in this system. The routine uses will then be prioritized and reordered according to their proposed usage. We will also take the opportunity to update any sections of the system that were affected by the recent reorganization and to update language in the administrative sections to correspond with language used in other CMS SORs. The primary purpose of the SOR is to ensure that no IRs are counted by the Medicare program as more than one full-time equivalent (FTE) employee in the calculation of payments for the costs of direct graduate medical education (GME) and indirect medical education (IME). Information retrieved from this SOR will also be disclosed to: support regulatory, reimbursement, and policy functions performed within the Agency or by a contractor or consultant, providers and suppliers of services, third-party contacts where necessary to establish or verify information, another Federal and/or state agency, agency of a state government, an agency established by state law, or its fiscal agent, support constituent requests made to a congressional representative, support litigation involving the Agency, and combat fraud and abuse in certain health benefits programs. We have provided background information about the modified system in the \"Supplementary Information\" section below. Although the Privacy Act requires only that CMS provide an opportunity for interested persons to comment on the proposed routine uses, CMS invites comments on all portions of this notice. See EFFECTIVE DATES section for comment period.","action":"Notice of modified or altered System of Records (SOR).","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services;"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2002/07/23/02-18169.html","cfr_references":[],"citation":"67 FR 48189","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"CMS filed a modified or altered system report with the Chair of the House Committee on Government Reform and Oversight, the Chair of the Senate Committee on Governmental Affairs, and the Administrator, Office of Information and Regulatory Affairs, Office of Management and Budget (OMB) on June 24, 2002. To ensure that all parties have adequate time in which to comment, the modified or altered SOR, including routine uses, will become effective 40 days from the publication of the notice, or from the date it was submitted to OMB and the Congress, whichever is later, unless CMS receives comments that require alterations to this notice.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"02-18169","effective_on":null,"end_page":48194,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2002/07/23/02-18169.xml","html_url":"https://www.federalregister.gov/documents/2002/07/23/02-18169/privacy-act-of-1974-report-of-modified-or-altered-system","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/02-18169?publication_date=2002-07-23","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2002-07-23/02-18169/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":115,"last_updated":"2026-04-22 10:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2002-07-23/pdf/02-18169.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2002-07-23","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2002/07/23/02-18169.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":48189,"subtype":null,"title":"Privacy Act of 1974; Report of Modified or Altered System","toc_doc":"Systems of records","toc_subject":"Privacy Act:","topics":[],"type":"Notice","volume":67}