[Federal Register Volume 62, Number 243 (Thursday, December 18, 1997)]
[Notices]
[Pages 66376-66377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-33066]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Form #HCFA-855]
Emergency Clearance: Public Information Collection Requirements
Submitted to the Office of Management and Budget (OMB)
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 (DHSS),
has submitted to the Office of Management and Budget (OMB) the
following request for Emergency review. We are requesting an emergency
review because the collection of this information is needed prior to
the expiration of the normal time limits under OMB's regulations at 5
C.F.R., Part 1320. The Agency cannot reasonably comply with the normal
clearance procedures because a statutory deadline imposed by the
Balanced Budget Act of 1997 (Pub. L. 105-33). Without this information,
HCFA would not be able to properly implement the requirements set forth
in the statute.
HCFA is requesting OMB review and approval of this collection by
12/31/97, with a 180-day approval period. Written comments and
recommendations will be accepted from the public if received by the
individual designated below, by 12/29/97.
During this 180-day period HCFA will pursue OMB clearance of this
collection as stipulated by 5 CFR. 1320.5.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare and
Other Federal Health Care Program Providers/Supplier Enrollment
Application; Form No.: HCFA-855, HCFA-855C, HCFA-855R, HCFA-855S; Use:
This information is needed to enroll providers and suppliers into the
Medicare program by identifying them, and verifying their
qualifications and eligibility to participate in Medicare, and to price
and pay their claims.; Frequency: Initial Enrollment/Recertification;
Affected Public: Business or other for-profit, individuals or
households, not-for-profit institutions, and Federal Government; Number
of Respondents: 225,000; Total Annual Responses: 225,000; Total Annual
Hours: 435,000.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access HCFA's
Web
[[Page 66377]]
Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail your
request, including your address, phone number, and HCFA form number(s)
referenced above, to Paperwork@hcfa.gov, or call the Reports Clearance
Office on (410) 786-1326.
Interested persons are invited to send comments regarding the
burden or any other aspect of these collections of information
requirements. However, as noted above, comments on these information
collection and recordkeeping requirements must be mailed and/or faxed
to the designee referenced below, by 12/29/97: Office of Information
and Regulatory Affairs, Office of Management and Budget, Room 10235,
New Executive Office Building, Washington, DC 20503, Fax Number: (202)
395-6974 or (202) 395-5167 Attn: Allison Herron Eydt, HCFA Desk
Officer.
Dated: December 12, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 97-33066 Filed 12-17-97; 8:45 am]
BILLING CODE 4120-03-P