[Federal Register Volume 67, Number 80 (Thursday, April 25, 2002)]
[Notices]
[Page 20518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-10189]



[[Page 20518]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-381]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid 
Services (CMS) (formerly known as 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: Extension of a currently 
approved collection; Title of Information Collection: Identification of 
Extension Units of Outpatient Physical Therapy (OPT) and Outpatient 
Speech Pathology (OSP) Providers and Supporting Regulations in 42 CFR 
485.701-485.729; Form No.: CMS-381 (OMB# 0938-0273); Use: When an OPT/
OSP provider furnishes services to locations other than their already 
certified premises (extension locations), those premises are considered 
to be part of the OPT/OSP provider and are subject to the same Medicare 
regulations as the primary location. This form is used by the State 
survey agencies and by the CMS regional offices to identify and monitor 
extension locations to ensure their compliance with Federal 
requirements; Frequency: Annually; Affected Public: Business or other 
for-profit; Number of Respondents: 2,833;Total Annual Responses: 2,833; 
Total Annual Hours: 708.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS'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 CMS 
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 CMS Paperwork Clearance 
Officer designated at the following address: CMS, Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards, Attention: Julie Brown, CMS-381, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 16, 2002.
John P. Burke III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-10189 Filed 4-24-02; 8:45 am]
BILLING CODE 4120-03-P