99-8979. Agency Information Collection Activities: Proposed Collection; Comment Request  

  • [Federal Register Volume 64, Number 69 (Monday, April 12, 1999)]
    [Notices]
    [Pages 17673-17674]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 99-8979]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Health Care Financing Administration
    [Document Identifier: HCFA-460]
    
    
    Agency Information Collection Activities: Proposed Collection; 
    Comment Request
    
    AGENCY: Health Care Financing Administration.
    
        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, is 
    publishing the following summary of proposed collections for public 
    comment. 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.
        Type of Information Collection Request: Extension of a currently 
    approved collection;
        Title of Information Collection: Medicare Participating Physician 
    or Supplier Agreement, HCFA-460;
        Form No.: HCFA-460 (OMB# 0938-0373);
        Use: The HCFA-460 is completed by nonparticipating physicians and
    
    [[Page 17674]]
    
    supplier if they choose to participate in Medicare Part B. By signing 
    the agreement, the physician or supplier agrees to take assignment on 
    all Medicare claims. To take assignment means to accept the Medicare 
    allowed amount as payment in full for the services they furnish and to 
    charge the beneficiary no more than the deductible and coinsurance for 
    the covered service. In exchange for signing the agreement, the 
    physician or supplier receives a significant number of program benefits 
    not available to nonparticipating physicians and suppliers. The 
    information is needed to know to whom to provide these benefits.;
        Frequency: Once, unless re-enrolled;
        Affected Public: Business or other for-profit, and Individuals or 
    Households;
        Number of Respondents: 45,000;
        Total Annual Responses: 45,000;
        Total Annual Hours: 11,250.
        To obtain copies of the supporting statement and any related forms 
    for the proposed paperwork collections referenced above, access HCFA's 
    Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
    your request, including your address, phone number, OMB number, and 
    HCFA document identifier, to Paperwork@hcfa.gov, or call the Reports 
    Clearance Office on (410) 786-1326. Written comments and 
    recommendations for the proposed information collections must be mailed 
    within 60 days of this notice directly to the HCFA Paperwork Clearance 
    Officer designated at the following address: HCFA, Office of 
    Information Services, Security and Standards Group, Division of HCFA 
    Enterprise Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500 
    Security Boulevard, Baltimore, Maryland 21244-1850.
    
        Dated: March 31, 1999.
    John P. Burke III,
    HCFA Reports Clearance Officer, HCFA Office of Information Services, 
    Security and Standards Group, Division of HCFA Enterprise Standards.
    [FR Doc. 99-8979 Filed 4-9-99; 8:45 am]
    BILLING CODE 4120-03-P
    
    
    

Document Information

Published:
04/12/1999
Department:
Health Care Finance Administration
Entry Type:
Notice
Document Number:
99-8979
Pages:
17673-17674 (2 pages)
Docket Numbers:
Document Identifier: HCFA-460
PDF File:
99-8979.pdf