97-4339. Agency Information Collection Activities: Submission for OMB Review; Comment Request  

  • [Federal Register Volume 62, Number 35 (Friday, February 21, 1997)]
    [Notices]
    [Pages 8026-8027]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-4339]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    [HCFA-841-853]
    
    
    Agency Information Collection Activities: Submission for OMB 
    Review; Comment Request
    
    AGENCY: Health Care Financing Administration, HHS.
        In compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. 
    3501 et seq.), the Health Care Financing Administration (HCFA), 
    Department of Health and Human Services, has submitted to the Office of 
    Management and Budget (OMB) the following proposals for the collection 
    of information. Interested persons are invited to send comments 
    regarding the 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
    
    [[Page 8027]]
    
    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.
        3. HCFA-841-853 Type of Information Collection Request: Revision of 
    currently approved collection; Title of Information Collection: Durable 
    Medical Equipment Regional Carrier, Certificate of Medical Necessity; 
    Form Nos.: HCFA-841-853 (formally HCFA-R-182); Use: A Certificate of 
    Medical Necessity is a standardized format used to communicate 
    information provide by an attending physician and a supplier of medical 
    equipment and supplies. The information is used by carriers to 
    determine the medical necessity of an item or service covered by the 
    Medicare program and being used for the treatment of the Medicare 
    beneficiary's condition. The CMNs being submitted for OMB review are 
    necessary in order for HCFA to determine the medical necessity of the 
    item or service. The information needed to make this determination 
    requires application of medical judgment that can only be provided by a 
    physician or other clinician who is familiar with the condition of the 
    beneficiary; Frequency: On Occasion; 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 obtain copies of the supporting statement and any related forms, 
    E-mail your request, including your address and phone number, to 
    Paperwork@hcfa.gov, or call the Reports Clearance Office on (410) 786-
    1326. Written comments and recommendations for the proposed information 
    collections should be sent within 30 days of this notice directly to 
    the OMB Desk Officer designated at the following address: OMB Human 
    Resources and Housing Branch, Attention: Allison Eydt, New Executive 
    Office Building, Room 10235, Washington, DC. 20503.
    
        Dated: February 18, 1997.
    Edwin J. Glatzel,
    Director, Management Analysis and Planning Staff, Office of Financial 
    and Human Resources, Health Care Financing Administration.
    [FR Doc. 97-4339 Filed 2-20-97; 8:45 am]
    BILLING CODE 4120-03-P
    
    
    

Document Information

Published:
02/21/1997
Department:
Health and Human Services Department
Entry Type:
Notice
Document Number:
97-4339
Pages:
8026-8027 (2 pages)
Docket Numbers:
HCFA-841-853
PDF File:
97-4339.pdf