[Federal Register Volume 62, Number 38 (Wednesday, February 26, 1997)]
[Notices]
[Pages 8744-8745]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-4759]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-855]
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 burden; (3) ways to enhance the quality, utility, and clarity
of the information to
[[Page 8745]]
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: Revision of a currently
approved collection; Title of Information Collection: Medicare
Provider/Supplier Enrollment Application; Form No.: HCFA-855; Use: This
information is needed to enroll providers/suppliers by identifying
them, verifying their qualifications and eligibility to participate in
Medicare, and to price and pay their claims; Frequency: Other (Initial
Application/recertification); Affected Public: Business or other for
profit, not for profit institutions, and federal government; Number of
Respondents: 165,000; Total Annual Responses: 165,000; Total Annual
Hours: 370,000.
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 21, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-4759 Filed 2-25-97; 8:45 am]
BILLING CODE 4126-03-P
