[Federal Register Volume 67, Number 135 (Monday, July 15, 2002)]
[Notices]
[Page 46526]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-17709]



[[Page 46526]]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-841, 842, 844-853]


Agency Information Collection Activities: Submission for OMB 
Review; 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: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Durable Medical Equipment 
Regional Carrier, Certificate of Medical Necessity; Form No.: CMS-841, 
842, 844-853 (OMB 0938-0679); Use: This information is needed 
to correctly process claims and ensure that claims are properly paid. 
These forms contain medical information necessary to make an 
appropriate claim determination. Suppliers and physicians will complete 
these forms. Frequency: Record Keeping and reporting on occasion; 
Affected Public: Business or other for-profit, not-for-profit 
institutions, Federal Government; Number of Respondents: 137,300; Total 
Annual Responses: 6.7 million; Total Annual Hours: 1.13 million.
    This Federal Registerr notice does not include the CMS-843 
collection. The 60-day Federal Register notice for all of the CMNs was 
published on March 4, 2002, Volume 67, Number 42, Page 9741-9743. We 
will be publishing the 30-day Federal Register notice for the CMS-843 
(power wheelchair) collection separately due to the public comments we 
received.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS 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 30 days of this notice directly to the OMB desk officer:
    OMB Human Resources and Housing Branch, Attention: Brenda Aguilar, 
New Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: July 2, 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. 02-17709 Filed 7-12-02; 8:45 am]
BILLING CODE 4120-03-P