[Federal Register Volume 61, Number 76 (Thursday, April 18, 1996)]
[Notices]
[Page 16925]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-9536]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Health Care Financing Administration, HHS.
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 summaries of proposed collections for public
comment. 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
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: Extension of a currently
approved collection; Title of Information Collection: Medicare
Participating Physician or Supplier Agreement, HCFA 460; Form No.: HCFA
460; Use: The HCFA 460 is completed by nonparticipating physicians and
suppliers 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: Individuals or
Households, and Business or other for-profit; Number of Respondents:
70,000; Total Annual Responses: 70,000; Total Annual Hours Requested:
17,500.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospital
Conditions of Participation--42 CFR Part 482; Form No.: HCFA-R-48; Use:
Hospitals seeking to participate in the Medicare and Medicaid programs
must meet the Conditions of Participation (COP) for Hospitals, 42 CFR
Part 482. The information collection requirements contained in this
package are needed to implement the Medicare and Medicaid COP for
hospitals. Frequency: Annually; Affected Public: Not-for-profit
institutions, Federal Government, and State, Local or Tribal
Government; Number of Respondents: 6,700; Total Annual Responses:
6,700; Total Annual Hours Requested: 62,657.
To request copies of the proposed paperwork collections referenced
above, call the Reports Clearance Office on (410) 786-1326. Written
comments and recommendations for the proposed information collections
should be sent within 60 days of this notice directly to the HCFA
Paperwork Clearance Officer designated at the following address: HCFA,
Office of Financial and Human Resources, Management Planning and
Analysis Staff, Attention: Louis Blank, Room C2-26-17, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
Dated: April 12, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources.
[FR Doc. 96-9536 Filed 4-17-96; 8:45 am]
BILLING CODE 4120-03-P
