[Federal Register Volume 60, Number 198 (Friday, October 13, 1995)]
[Notices]
[Pages 53383-53384]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-25499]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Public Information Collection Requirements Submitted for Public
Comment and Recommendations
AGENCY: Health Care Financing Administration, HHS.
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Health Care Financing
Administration (HCFA), Department of Health and Human Services (HHS),
is publishing the following summaries of proposed collections for
public comment. The title, description, and respondent description of
the information collection are shown below with an estimate of the
annual reporting and recordkeeping burden. Included in the estimate is
the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing
the collection of information. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection;
Title of Information Collection: Durable Medical Equipment Regional
Carrier, Certificate of Medical Necessity, Version I and Version II.
(Either version may be used through April 1, 1996);
Form No.: HCFA-R-182;
Use: This information is needed to correctly process claims and insure
that claims are properly paid. These forms contain medical information
necessary to make an appropriate determination;
Frequency: On Occasion;
[[Page 53384]]
Affected Public: Suppliers and Physicians, Business or other for
profit, Federal Government;
Number of Respondents: 140,000;
Total Annual Responses: 6.8 million;
Total Annual Hours Requested: 1.7 million.
To request copies of the proposed paperwork collection referenced
above, call the Reports Clearance Office on (410) 786-1326. Written
comments and recommendations for the proposed information collections
should be sent within 60 days of this notice directly to the HCFA
Paperwork Clearance Officer designated at the following address: HCFA,
Office of Financial and Human Resources, Management Planning and
Analysis Staff, Attention: Zaneta Davis, 7500 Security Boulevard, Room
C2-26-17, Baltimore, Maryland 21244-1850.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff.
[FR Doc. 95-25499 Filed 10-12-95; 8:45 am]
BILLING CODE 4120-03-P
