[Federal Register: November 18, 2002 (Volume 67, Number 222)]
[Notices]
[Page 69532]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr18no02-68]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifiers: CMS-843 and CMS-841, 842, 844-853]
Agency Information Collection Activities: Proposed Collection;
Comment Request
Agency: Centers for Medicare and Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS) (formerly known as 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.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Durable Medicare
Equipment Regional Carrier, Certificate of Medical Necessity and
Supporting Documentation Requirements; Form No.: CMS-843 (OMB
0938-0875); Use: This information is needed to correctly process claims
and ensure that claims are properly paid. These forms contain medical
information and supporting documentation necessary to make appropriate
claims determinations. Suppliers and physicians will complete these
forms and as needed supply additional routine supporting documentation
necessary to process claims; Frequency: On occasion; Affected Public:
Business or other for-profit, Federal Government, Not-for-profit
institutions; Number of Respondents: 2,700; Total Annual Responses:
129,000; Total Annual Hours: 32,250.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Durable Medical
Equipment Regional Carrier, Certificate of Medical Necessity and
Supporting Documentation Requirements; Form No.: CMS-841, 842, 844-853
(OMB 0938-0679); Use: This information is needed to correctly
process claims and ensure that claims are properly paid. These forms
and supporting documentation contain medical information necessary to
make appropriate claims determinations. Suppliers and physicians will
complete these forms and as needed supply additional routine supporting
documentation necessary to process claims; Frequency: On occasion;
Affected Public: Business or other for-profit, Not-for-profit
institutions, Federal Government; Number of Respondents: 137,300; Total
Annual Responses: 6.7 million; Total Annual Hours: 1.13 million.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS's
Web Site address at http://cms.hhs.gov/regulations/pra/default.asp, or
E-mail your request, including your address, phone number, OMB number,
and CMS 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 CMS Paperwork Clearance
Officer designated at the following address: CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development
and Issuances, Attention: Dawn Willinghan, Room N2-14-26, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
Dated: November 7, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, , CMS Reports Clearance Officer,
Office of Strategic Operations and Strategic Affairs, Division of
Regulations Development and Issuances.
[FR Doc. 02-29129 Filed 11-15-02; 8:45 am]
BILLING CODE 4120-03-P