[Federal Register Volume 60, Number 194 (Friday, October 6, 1995)]
[Notices]
[Pages 52530-52607]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-24922]




[[Page 52529]]

_______________________________________________________________________

Part V





Department of Health and Human Services





_______________________________________________________________________



Health Care Financing Administration



_______________________________________________________________________



Public Information Collection Requirements Submitted to OMB for 
Clearance; Notice

  Federal Register / Vol. 60, No. 194 / Friday, October 6, 1995 / 
Notices   

[[Page 52530]]


DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration


Public Information Collection Requirements Submitted to the 
Office of Management and Budget (OMB) for Clearance

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), 
has submitted to OMB the following information collection requirement 
for emergency review. We are requesting an emergency review because the 
collection of this information is needed prior to the expiration of the 
normal time limits under OMB's regulations at 5 CFR, Part 1320, in 
order to analyze and pay claims submitted by certain medical suppliers, 
and is essential to the mission of HCFA. The Agency cannot reasonably 
comply with the normal clearance procedures because public harm is 
likely to result if normal clearance procedures are followed. Without 
this information, HCFA could not authorize payment for only those 
services that are reasonable and necessary (Sections 1834 and 1861 of 
the Social Security Act).
    HCFA is requesting that OMB provide a two-day review and a 90-day 
approval. During this 90-day period HCFA will publish a separate 
Federal Register notice announcing the initiation of an extensive 60-
day agency review and public comment period on these requirements. Then 
HCFA will submit the requirements for OMB review and an extension of 
this emergency approval.
    1. Type of Information Collection Request: Emergency; Title of 
Information Collection: Durable Medical Equipment Regional Carrier, 
Certificate of Medical Necessity, Version I and Version II. (Either 
version may be used through April 1, 1996); Form No.: HCFA-R-182; Use: 
This information is needed to correctly process claims and insure that 
claims are properly paid. These forms contain medical information 
necessary to make an appropriate determination.
    Frequency: On occasion; Affected Public: Suppliers and Physicians, 
Business or other for-profit, Federal Government; Number of 
Respondents: 140,000; Total Annual Responses: 6.8 million; Total Annual 
Hours Requested: 1.7 million.
    To request copies of the proposed paperwork collection referenced 
above, call the Reports Clearance Office on (410) 786-1326. Written 
comments and recommendations for the proposed information collections 
should be sent within 2 working days of this notice directly to the OMB 
Desk Officer designated at the following address: OMB Human Resources 
and Housing Branch, Attention: Allison Eydt, New Executive Office 
Building, Room 10235, Washington, D.C. 20503.

    Dated: October 3, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff.

BILLING CODE 4120-03-P

[[Page 52531]]
[GRAPHIC][TIFF OMITTED]TN06OC95.001



[[Page 52532]]
[GRAPHIC][TIFF OMITTED]TN06OC95.002



[[Page 52533]]
[GRAPHIC][TIFF OMITTED]TN06OC95.003



[[Page 52534]]
[GRAPHIC][TIFF OMITTED]TN06OC95.004



[[Page 52535]]
[GRAPHIC][TIFF OMITTED]TN06OC95.005



[[Page 52536]]
[GRAPHIC][TIFF OMITTED]TN06OC95.006



[[Page 52537]]
[GRAPHIC][TIFF OMITTED]TN06OC95.007



[[Page 52538]]
[GRAPHIC][TIFF OMITTED]TN06OC95.008



[[Page 52539]]
[GRAPHIC][TIFF OMITTED]TN06OC95.009



[[Page 52540]]
[GRAPHIC][TIFF OMITTED]TN06OC95.010



[[Page 52541]]
[GRAPHIC][TIFF OMITTED]TN06OC95.011



[[Page 52542]]
[GRAPHIC][TIFF OMITTED]TN06OC95.012



[[Page 52543]]
[GRAPHIC][TIFF OMITTED]TN06OC95.013



[[Page 52544]]
[GRAPHIC][TIFF OMITTED]TN06OC95.014



[[Page 52545]]
[GRAPHIC][TIFF OMITTED]TN06OC95.015



[[Page 52546]]
[GRAPHIC][TIFF OMITTED]TN06OC95.016



[[Page 52547]]
[GRAPHIC][TIFF OMITTED]TN06OC95.017



[[Page 52548]]
[GRAPHIC][TIFF OMITTED]TN06OC95.018



[[Page 52549]]
[GRAPHIC][TIFF OMITTED]TN06OC95.019



[[Page 52550]]
[GRAPHIC][TIFF OMITTED]TN06OC95.020



[[Page 52551]]
[GRAPHIC][TIFF OMITTED]TN06OC95.021



[[Page 52552]]
[GRAPHIC][TIFF OMITTED]TN06OC95.022



[[Page 52553]]
[GRAPHIC][TIFF OMITTED]TN06OC95.023



[[Page 52554]]
[GRAPHIC][TIFF OMITTED]TN06OC95.024



[[Page 52555]]
[GRAPHIC][TIFF OMITTED]TN06OC95.025



[[Page 52556]]
[GRAPHIC][TIFF OMITTED]TN06OC95.026



[[Page 52557]]
[GRAPHIC][TIFF OMITTED]TN06OC95.027



[[Page 52558]]
[GRAPHIC][TIFF OMITTED]TN06OC95.028



[[Page 52559]]
[GRAPHIC][TIFF OMITTED]TN06OC95.029



[[Page 52560]]
[GRAPHIC][TIFF OMITTED]TN06OC95.030



[[Page 52561]]
[GRAPHIC][TIFF OMITTED]TN06OC95.031



[[Page 52562]]
[GRAPHIC][TIFF OMITTED]TN06OC95.032



[[Page 52563]]
[GRAPHIC][TIFF OMITTED]TN06OC95.033



[[Page 52564]]
[GRAPHIC][TIFF OMITTED]TN06OC95.034



[[Page 52565]]
[GRAPHIC][TIFF OMITTED]TN06OC95.035



[[Page 52566]]
[GRAPHIC][TIFF OMITTED]TN06OC95.036



[[Page 52567]]
[GRAPHIC][TIFF OMITTED]TN06OC95.037



[[Page 52568]]
[GRAPHIC][TIFF OMITTED]TN06OC95.038



[[Page 52569]]
[GRAPHIC][TIFF OMITTED]TN06OC95.039



[[Page 52570]]
[GRAPHIC][TIFF OMITTED]TN06OC95.040



[[Page 52571]]
[GRAPHIC][TIFF OMITTED]TN06OC95.041



[[Page 52572]]
[GRAPHIC][TIFF OMITTED]TN06OC95.042



[[Page 52573]]
[GRAPHIC][TIFF OMITTED]TN06OC95.043



[[Page 52574]]
[GRAPHIC][TIFF OMITTED]TN06OC95.044



[[Page 52575]]
[GRAPHIC][TIFF OMITTED]TN06OC95.045



[[Page 52576]]
[GRAPHIC][TIFF OMITTED]TN06OC95.046



[[Page 52577]]
[GRAPHIC][TIFF OMITTED]TN06OC95.047



[[Page 52578]]
[GRAPHIC][TIFF OMITTED]TN06OC95.048



[[Page 52579]]
[GRAPHIC][TIFF OMITTED]TN06OC95.049



[[Page 52580]]
[GRAPHIC][TIFF OMITTED]TN06OC95.050



[[Page 52581]]
[GRAPHIC][TIFF OMITTED]TN06OC95.051



[[Page 52582]]
[GRAPHIC][TIFF OMITTED]TN06OC95.052



[[Page 52583]]
[GRAPHIC][TIFF OMITTED]TN06OC95.053



[[Page 52584]]
[GRAPHIC][TIFF OMITTED]TN06OC95.054



[[Page 52585]]
[GRAPHIC][TIFF OMITTED]TN06OC95.055



[[Page 52586]]
[GRAPHIC][TIFF OMITTED]TN06OC95.056



[[Page 52587]]
[GRAPHIC][TIFF OMITTED]TN06OC95.057



[[Page 52588]]
[GRAPHIC][TIFF OMITTED]TN06OC95.058



[[Page 52589]]
[GRAPHIC][TIFF OMITTED]TN06OC95.059



[[Page 52590]]
[GRAPHIC][TIFF OMITTED]TN06OC95.060



[[Page 52591]]
[GRAPHIC][TIFF OMITTED]TN06OC95.061



[[Page 52592]]
[GRAPHIC][TIFF OMITTED]TN06OC95.062



[[Page 52593]]
[GRAPHIC][TIFF OMITTED]TN06OC95.063



[[Page 52594]]
[GRAPHIC][TIFF OMITTED]TN06OC95.064



[[Page 52595]]
[GRAPHIC][TIFF OMITTED]TN06OC95.065



[[Page 52596]]
[GRAPHIC][TIFF OMITTED]TN06OC95.066



[[Page 52597]]
[GRAPHIC][TIFF OMITTED]TN06OC95.067



[[Page 52598]]
[GRAPHIC][TIFF OMITTED]TN06OC95.068



[[Page 52599]]
[GRAPHIC][TIFF OMITTED]TN06OC95.069



[[Page 52600]]
[GRAPHIC][TIFF OMITTED]TN06OC95.070



[[Page 52601]]
[GRAPHIC][TIFF OMITTED]TN06OC95.071



[[Page 52602]]
[GRAPHIC][TIFF OMITTED]TN06OC95.072



[[Page 52603]]
[GRAPHIC][TIFF OMITTED]TN06OC95.073



[[Page 52604]]
[GRAPHIC][TIFF OMITTED]TN06OC95.074



[[Page 52605]]
[GRAPHIC][TIFF OMITTED]TN06OC95.075



[[Page 52606]]
[GRAPHIC][TIFF OMITTED]TN06OC95.076



[[Page 52607]]
[GRAPHIC][TIFF OMITTED]TN06OC95.077


[FR Doc. 95-24922 Filed 10-5-95; 8:45 am]
BILLING CODE 4120-03-C