[Federal Register Volume 66, Number 138 (Wednesday, July 18, 2001)]
[Notices]
[Pages 37483-37484]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-17959]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-312 and HCFA-R-263]


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

    In compliance with the requirement of section 3506(c)(2)(A) of the

[[Page 37484]]

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.
    (1) Type of Information Collection Request: Extension of a 
currently approved collection;
    Title of Information Collection: Conflict of Interest and Ownership 
and Control Information;
    Form No.: HCFA-R-312 (OMB# 0938-0795);
    Use: This Conflict of Interest questionnaire is sent to all 
Medicare Fiscal Intermediaries (FIs) and Carriers to collect full and 
complete information on any entity's or individual's ownership interest 
(defined as a 5 per centum or more) in an organization that may present 
a potential conflict of interest in their role as a Medicare FI or 
Carrier. The information gathered is used to ensure that all potential, 
apparent and actual conflicts of interest involving Medicare contracts 
are appropriately mitigated and that employees of the contractors, 
including officers, directors, trustees and members of their immediate 
families, do not utilize their positions with the contractor for their 
own private business interest to the detriment of the Medicare 
program.;
    Frequency: Annually;
    Affected Public: Not-for-profit institutions, and Business or other 
for-profit;
    Number of Respondents: 37;
    Total Annual Responses: 37;
    Total Annual Hours: 11,100.
    (2)Type of Information Collection Request: Revision of a currently 
approved collection;
    Title of Information Collection: On Site Inspection for Durable 
Medical Equipment (DME) Supplier Location & Supporting Regulations in 
42 CFR, 424.57;
    Form Nos.: HCFA-R-263 (OMB# 0938-0749);
    Use: To identify and implement measures to prevent fraud and abuse 
in the Medicare program. Controlling the entry of suppliers of durable 
medical equipment, prosthetics, orthotics, or supplies (DMEPOS) to 
Medicare has been identified as one of the most effective ways to 
prevent fraud and abuse. To meet this challenge, HCFA is moving forward 
with a plan to improve the quality of the process for enrolling and 
reenrolling DMEPOS suppliers into the Medicare program by enhancing 
procedures for verifying supplier information collected on the Form 
HCFA-855S (DMEPOS Supplier Enrollment Application, OMB Approval No. 
0938-0685). This form will be used to complete information on DMEPOS 
suppliers' compliance with regulations found in 42 CFR 424.57.
    Frequency: On occasion;
    Affected Public: Business or other for-profit, Not-for-profit 
institutions, and State, Local or Tribal Government;
    Number of Respondents: 20,000;
    Total Annual Responses: 20,000;
    Total Annual Hours: 10,000.
    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 [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 19, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-17959 Filed 7-17-01; 8:45 am]
BILLING CODE 4120-03-P