[Federal Register Volume 67, Number 231 (Monday, December 2, 2002)]
[Notices]
[Page 71571]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-30377]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-855]


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), 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 Federal 
Health Care Programs Provider/Supplier Enrollment Application; Form 
No.: CMS-855 (OMB 0938-0685); Use: This information is needed 
to enroll providers and suppliers into the Medicare program by 
identifying them, pricing and paying their claims, and verifying their 
qualifications and eligibility to participate in Medicare; Frequency: 
Initial enrollment/recertification and Every three years; Affected 
Public: Business or other for-profit, individuals or households, and 
not-for-profit institutions; Number of Respondents: 274,000; Total 
Annual Responses: 274,000; Total Annual Hours: 642,000.
    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 25, 2002.
Julie E. Brown,
Acting Paperwork Reduction Act Team Leader, CMS Reports Clearance 
Officer, Office of Strategic Operations and Strategic Affairs, Division 
of Regulations Development and Issuances.
[FR Doc. 02-30377 Filed 11-26-02; 11:20 am]
BILLING CODE 4120-03-P