[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
