[Federal Register Volume 64, Number 180 (Friday, September 17, 1999)]
[Notices]
[Page 50522]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-24271]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-1450]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration.
    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, is 
publishing the following summary of proposed collections for public 
comment. Interested persons are invited to send comments regarding this 
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: Medicare Uniform 
Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5; 
Form No.: HCFA-1450 (OMB 0938-0279); Use: This standardized 
form is used in the Medicare/Medicaid program to apply for 
reimbursement for covered services by all providers that accept 
Medicare/Medicaid assigned claims. It reduces cost and administrative 
burden associated with claims since only one reimbursement coding 
system is used and maintained. Frequency: On occasion; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal 
Government, and State, Local or Tribal Government; Number of 
Respondents: 149,609,549; Total Annual Responses: 149,609,549; Total 
Annual Hours: 1,960,991.
    To obtain copies of the supporting statement and any related forms 
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, phone number, OMB number, and 
HCFA document identifier, 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 60 days of this notice directly to the HCFA Paperwork Clearance 
Officer designated at the following address:
    HCFA, Office of Information Services, Information Technology 
Investment Management Group, Division of HCFA Enterprise Standards, 
Attention: Julie Brown, Room N2-14-26, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: September 9, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Information Technology Investment Management Group, Division of HCFA 
Enterprise Standards.
[FR Doc. 99-24271 Filed 9-16-99; 8:45 am]
BILLING CODE 4120-03-P