[Federal Register Volume 64, Number 180 (Friday, September 17, 1999)]
[Notices]
[Page 50522]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-24271]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-1450]
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: Reinstatement without
change of a previously approved collection for which approval has
expired; Title of Information Collection: Medicare Uniform
Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5;
Form No.: HCFA-1450 (OMB 0938-0279); Use: This standardized
form is used in the Medicare/Medicaid program to apply for
reimbursement for covered services by all providers that accept
Medicare/Medicaid assigned claims. It reduces cost and administrative
burden associated with claims since only one reimbursement coding
system is used and maintained. Frequency: On occasion; Affected Public:
Business or other for-profit, Not-for-profit institutions, Federal
Government, and State, Local or Tribal Government; Number of
Respondents: 149,609,549; Total Annual Responses: 149,609,549; Total
Annual Hours: 1,960,991.
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, Information Technology
Investment Management Group, Division of HCFA Enterprise Standards,
Attention: Julie Brown, Room N2-14-26, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: September 9, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 99-24271 Filed 9-16-99; 8:45 am]
BILLING CODE 4120-03-P