[Federal Register Volume 61, Number 128 (Tuesday, July 2, 1996)]
[Notices]
[Page 34437]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16843]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-460]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    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, has 
submitted to the Office of Management and Budget (OMB) the following 
proposal for the collection of information. 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: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Participating Physician or Supplier Agreement, HCFA 460; Form No.: HCFA 
460; Use: The HCFA 460 is completed by nonparticipating physicians and 
suppliers if they choose to participate in Medicare Part B. By signing 
the agreement, the physician or supplier agrees to take assignment on 
all Medicare claims. To take assignment means to accept the Medicare 
allowed amount as payment in full for the services they furnish and to 
charge the beneficiary no more than the deductible and coinsurance for 
the covered service. In exchange for signing the agreement, the 
physician or supplier receives a significant number of program benefits 
not available to nonparticipating physicians and suppliers. The 
information is needed to know to whom to provide these benefits. 
Frequency: Once, unless re-enrolled; Affected Public: Individuals or 
Households, and Business or other for-profit; Number of Respondents: 
70,000; Total Annual Responses: 70,000; Total Annual Hours Requested: 
17,500.
    To request copies of the proposed paperwork collections 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 
collections 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: June 25, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-16843 Filed 7-01-96; 8:45 am]
BILLING CODE 4120-03-P