[Federal Register Volume 61, Number 35 (Wednesday, February 21, 1996)]
[Notices]
[Page 6645]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-3862]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Information Collection Requirements Submitted for Public Comment: 
Submission for Office of Management and Budget (OMB) Review

AGENCY: Health Care Financing Administration, HHS.
    In compliance with the Paperwork Reduction Act (44 U.S.C. 3501 et 
seq.), this notice announces that the Information Collection 
Requirement abstracted below has been submitted to the Office of 
Management and Budget (OMB) for review and 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 
budget.
    1. Type of Information Collection Request: New; Title of 
Information Collection: Medicare Carrier Provider/Supplier Enrollment 
Application; Form No.: HCFA-R-186; Use: This information is needed to 
enroll providers/suppliers by identifying them, verifying their 
qualifications and eligibility to participate in Medicare, and to price 
and pay their claims correctly. Frequency: Initial Application; 
Affected Public: Business or other for profit, Federal Government; 
Number of Respondents: 160,000; Total Annual Hours Requested: 240,000.
    To request copies of the proposed paperwork collection referenced 
above, E-mail your request, including your address, to 
P[email protected], or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information 
collection should be sent within 30 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: February 14, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff.
[FR Doc. 96-3862 Filed 2-20-96; 8:45 am]
BILLING CODE 4120-03-P