97-33066. Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB)  

  • [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
    
    
    

Document Information

Published:
12/18/1997
Department:
Health Care Finance Administration
Entry Type:
Notice
Document Number:
97-33066
Pages:
66376-66377 (2 pages)
Docket Numbers:
Form #HCFA-855
PDF File:
97-33066.pdf