[Federal Register Volume 67, Number 222 (Monday, November 18, 2002)]
[Notices]
[Page 69532]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-29129]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifiers: CMS-843 and CMS-841, 842, 844-853]


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.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Durable Medicare 
Equipment Regional Carrier, Certificate of Medical Necessity and 
Supporting Documentation Requirements; Form No.: CMS-843 (OMB 
0938-0875); Use: This information is needed to correctly process claims 
and ensure that claims are properly paid. These forms contain medical 
information and supporting documentation necessary to make appropriate 
claims determinations. Suppliers and physicians will complete these 
forms and as needed supply additional routine supporting documentation 
necessary to process claims; Frequency: On occasion; Affected Public: 
Business or other for-profit, Federal Government, Not-for-profit 
institutions; Number of Respondents: 2,700; Total Annual Responses: 
129,000; Total Annual Hours: 32,250.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Durable Medical 
Equipment Regional Carrier, Certificate of Medical Necessity and 
Supporting Documentation Requirements; 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 
and supporting documentation contain medical information necessary to 
make appropriate claims determinations. Suppliers and physicians will 
complete these forms and as needed supply additional routine supporting 
documentation necessary to process claims; Frequency: 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.
    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://cms.hhs.gov/regulations/pra/default.asp, 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 Strategic 
Operations and Regulatory Affairs, Division of Regulations Development 
and Issuances, Attention: Dawn Willinghan, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: November 7, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, , CMS Reports Clearance Officer, 
Office of Strategic Operations and Strategic Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 02-29129 Filed 11-15-02; 8:45 am]
BILLING CODE 4120-03-P