[Federal Register Volume 67, Number 119 (Thursday, June 20, 2002)]
[Notices]
[Pages 42023-42024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-15528]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-1856/1893]


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: Request for 
Certification in the Medicare/Medicaid Program to Provide Outpatient 
Physical Therapy and/or Speech-Language Pathology and the Outpatient 
Physical Therapy and/or Speech-Language Pathology Survey Report Form 
and Supporting Regulations in 42 CFR 485.701-485.729; Form No.: CMS-
1856/1893 (OMB 0938-00065); Use: The form CMS-1856 is utilized 
as an application to be completed by suppliers of OPT/SP services 
requesting participation in the Medicare/Medicaid programs. This form 
initiates the process of obtaining a decision as to whether the 
conditions of coverage are met as an OPT/SP supplier. It is used by the 
CMS Regional Offices (ROs) to enter the new supplier into the Online 
Survey, Certification and Reporting System (OSCAR). The survey report 
form CMS-1893 is an instrument used by the State survey agency to 
record data collected during an on-site survey of a supplier of OPT/SP 
services to determine compliance with the

[[Page 42024]]

applicable conditions of participation and to report this information 
to the Federal Government. The form is primarily a coding worksheet 
designed to facilitate data reduction and retrieval into the OSCAR 
system at the CMS ROs. The form includes basic information on 
compliance (i.e., met, not met, explanatory statements) and does not 
require any descriptive information regarding the survey activity 
itself.; Frequency: On occasion; Affected Public: Business or other for 
profit; Number of Respondents: 1,700; Total Annual Responses: 255; 
Total Annual Hours: 446.
    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 Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: June 12, 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. 02-15528 Filed 6-19-02; 8:45 am]
BILLING CODE 4120-03-P