[Federal Register Volume 67, Number 106 (Monday, June 3, 2002)]
[Notices]
[Pages 38286-38287]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-13763]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-485]


Agency Information Collection Activities: Proposed Collection: 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services.
    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: Home Health 
Services Under Hospital Insurance, Manual Instructions and Supporting 
Regulations in 42 CFR 409.40-.50, 410.36, 410.170, 411.4-.15, 421.100, 
424.22, 484.18 and 489.21; Form No.: HCFA-485 (OMB 0938-0357); 
Use: The ``Home Health Services Under Hospital Insurance'' is a 
certification and plan of care used by the Regional Home Health 
Intermediaries to ensure reimbursement is made to Home Health agencies 
only for services that are covered and medically necessary under Part A 
and Part B. The attending physician must sign the HCFA-485 (OMB 0938-
0357) authorizing the home services for a period not to exceed 60 days; 
Frequency: Other: Every 60 days; Affected Public: Business or other 
for-profit; Number of Respondents: 6,892; Total Annual Responses: 
4,750,000; Total Annual Hours: 1,583,333.
    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: Room N2-14-26, 7500 Security

[[Page 38287]]

Boulevard, Baltimore, Maryland 21244-1850.

    Dated: May 15, 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. 02-13763 Filed 5-31-02; 8:45 am]
BILLING CODE 4120-03-M