[Federal Register Volume 67, Number 167 (Wednesday, August 28, 2002)]
[Notices]
[Page 55268]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-21826]


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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: Submission for OMB 
Review; 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: 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 0938-0065); 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 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 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: August 20, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 02-21826 Filed 8-27-02; 8:45 am]
BILLING CODE 4120-03-P