[Federal Register Volume 61, Number 86 (Thursday, May 2, 1996)]
[Notices]
[Pages 19628-19629]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-10864]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[R-131]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the

[[Page 19629]]

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 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 burden.
    Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Information Collection 
Requirements in BPD-458-F, Section 411.408(d)(2) and (f); Form No.: 
HCFA-R-131; Use: Physicians who do not accept assignment may bill a 
patient for services denied by Medicare as ``not reasonable and 
necessary,'' if they informed the patient, prior to furnishing the 
services, that Medicare was likely to deny part B payments for services 
and the patient, after being so informed, agrees to pay for the 
services. Frequency: On occasion; Affected Public: Individuals or 
Households; Number of Respondents: 237,322; Total Annual Responses: 
925,904; Total Annual Hours Requested: 115,738.
    To request copies of the proposed paperwork collections referenced 
above, call the Reports Clearance Office on (410) 786-1326. 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: Louis Blank, Room C2-26-17, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 24, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-10864 Filed 5-1-96; 8:45 am]
BILLING CODE 4120-03-P