95-21646. Public Information Collection Requirements Submitted for Public Comment and Recommendations

[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Page 45487]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21646]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


Public Information Collection Requirements Submitted for Public 
Comment and Recommendations

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 (HHS), 
is publishing the following summaries of proposed collections for 
public comment.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Uniform; 
Form No.: HCFA-1450 (UB-92); Use: This form is the standardized form 
used in the Medicare/Medicaid program to apply for reimbursement for 
covered services by all providers that accept Medicare/Medicaid 
assigned claims. It will reduce costs and administrative burdens 
associated with claims since only one coding system is used and 
maintained. Frequency: Annually; Affected Public: Federal Government, 
State, local, or tribal government, business or other for profit, not-
for-profit institutions; Number of Respondents: 123,432,041; Total 
Annual Hours: 1,890,490.
    To request copies of the proposed paperwork collection referenced 
above, call the Reports Clearance Office on [phone]. 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: Zaneta Davis, 7500 Security Boulevard, Room 
C2-26-17, Baltimore, Maryland 21244-1850.

    Dated: August 24, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff.
[FR Doc. 95-21646 Filed 8-30-95; 8:45 am]
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