[Federal Register Volume 66, Number 71 (Thursday, April 12, 2001)]
[Notices]
[Page 18958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-9088]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-210]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    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: New Collection; Title of 
Information Collection: Information Collection Requirements for 
Ambulance Services and Supporting Regulations Contained in 42 CFR 
410.40 and 410.41; Form No.: HCFA-R-210; Use: By separate submissions, 
Ambulance service suppliers will be required to submit additional 
information to Medicare Carriers when operational changes occur; this 
ensures that Carrier records are up-to-date. The Physician Certificate 
Statement will be required to ensure that scheduled ambulance service 
are medically necessary; Frequency: Annually, On occasion; Affected 
Public: Business or other for-profit; Number of Respondents: 509,000; 
Total Annual Responses: 27,009,000; Total Annual Hours: 5,269,530.
    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, Security and Standards Group, Attention: Julie 
Brown, HCFA R 210, Room N2-14-26, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: April 14, 2001.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
HCFA Enterprise Standards.
[FR Doc. 01-9088 Filed 4-11-01; 8:45 am]
BILLING CODE 4120-03-M