[Federal Register Volume 64, Number 140 (Thursday, July 22, 1999)]
[Notices]
[Page 39517]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-18752]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: 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 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 (OMB # 0938-0373);
    Use: The HCFA-460 is completed by nonparticipating physicians and 
supplier 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: business or other for-profit, and Individuals or 
Households;
    Number of Respondents: 45,000;
    Total Annual Responses: 45,000;
    Total Annual Hours: 11,250.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.hcfa.gov/regs/prdact95.htm, or E-mail your request, 
including your address and phone number, to P[email protected], or call 
the Reports Clearance Office on (410) 786-1326. Written comments and 
recommendations for the proposed information collections must be mailed 
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 15, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-18752 Filed 7-21-99; 8:45 am]
BILLING CODE 4120-03-M