[Federal Register Volume 67, Number 96 (Friday, May 17, 2002)]
[Notices]
[Pages 35115-35116]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12348]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-460]


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), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send

[[Page 35116]]

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: Medicare 
Participating Physician or Supplier Agreement, CMS-460; Form No.: CMS-
460 (OMB 0938-0373); Use: The CMS-460 is completed by 
nonparticipating physicians and supplier if they choose to participate 
in Medicare Part B. By signing the agreement, the physician or supplier 
agrees to take assignment on all Medicare claims. To take assignment 
means to accept the Medicare allowed amount as payment in full for the 
services they furnish and to charge the beneficiary no more than the 
deductible and coinsurance for the covered service. In exchange for 
signing the agreement, the physician or supplier receives a significant 
number of program benefits not available to nonparticipating physicians 
and suppliers. The information is needed to know to whom to provide 
these benefits.; Frequency: Once, unless re-enrolled; Affected Public: 
Business or other for-profit, and Individuals or Households; Number of 
Respondents: 6,250; Total Annual Responses: 6,250; Total Annual Hours: 
1,563. 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: Dawn Willinghan, CMS-460, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: May 7, 2002.
John P. Burke III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, CMS 
Office of Information Services, Security and Standards Group, Division 
of CMS Enterprise Standards.
[FR Doc. 02-12348 Filed 5-16-02; 8:45 am]
BILLING CODE 4120-03-M