[Federal Register Volume 67, Number 142 (Wednesday, July 24, 2002)]
[Notices]
[Page 48480]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-18651]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-460]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare and Medicaid Services, DHHS.
    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: 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 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: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: July 16, 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. 02-18651 Filed 7-23-02; 8:45 am]
BILLING CODE 4120-03-P