[Federal Register Volume 66, Number 23 (Friday, February 2, 2001)]
[Notices]
[Page 8807]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-2799]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-855]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, DHHS.
    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: Revision of a currently 
approved collection; Title of Information Collection: Medicare Federal 
Health Care Programs Provider/Supplier Enrollment Application; Form 
No.: HCFA-855 (OMB# 0938-0685); Use: This information is needed to 
enroll providers and suppliers into the Medicare program by identifying 
them, pricing and paying their claims, and verifying their 
qualifications and eligibility to participate in Medicare; Frequency: 
Initial enrollment/recertification and Every three years; Affected 
Public: Business or other for-profit, Individuals or Households, and 
Not-for-profit institutions; Number of Respondents: 1,300,000; Total 
Annual Responses: 604,000; Total Annual Hours: 792,000. 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 [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: January 24, 2001.
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. 01-2799 Filed 2-1-01; 8:45 am]
BILLING CODE 4120-03-P