[Federal Register Volume 87, Number 244 (Wednesday, December 21, 2022)]
[Notices]
[Pages 78109-78110]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-27739]



[[Page 78109]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-855I and CMS-855O]


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

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by January 20, 2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain . Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Registration Application; Use: Various sections of the Social Security 
Act (Act), the United States Code (U.S.C.), Internal Revenue Service 
Code (Code) and the Code of Federal Regulations (CFR) require providers 
and suppliers to furnish information concerning the amounts due and the 
identification of individuals or entities that furnish medical services 
to beneficiaries before allowing payment. The principal function of the 
CMS-855O is to gather information from a physician or other eligible 
professional to help CMS determine whether he or she meets certain 
qualifications to enroll in the Medicare program for the sole purpose 
of ordering or certifying certain Medicare items or services. The CMS-
855O allows a physician or other eligible professional to enroll in 
Medicare without approval for billing privileges.
    The collection and verification of this information protects our 
beneficiaries from illegitimate providers/suppliers. These procedures 
also protect the Medicare Trust Funds against fraud. The CMS-855O 
gathers information that allow Medicare contractors to ensure that the 
physician or eligible professional is not sanctioned from the Medicare 
and/or Medicaid program(s), or debarred, or excluded from any other 
Federal agency or program. Furthermore, the data collected also ensures 
that the applicant has the necessary credentials to order and certify 
health care services. This is the sole instrument implemented for this 
purpose.
    Form Number: CMS- 855O (OMB control number 0938-1135); Frequency: 
Occasionally; Affected Public: Private Sector (Business or other for-
profits), State, Local, or Tribal Governments; Number of Respondents: 
6,190; Number of Responses: 6,190; Total Annual Hours: 3,095. (For 
policy questions regarding this collection contact Frank Whelan at 410-
786-1302).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application for Physician and Non-Physician Practitioners; 
Use: The Social Security Act (Act) requires providers and suppliers to 
furnish information concerning the amounts due and the identification 
of individuals or entities that furnish medical services to 
beneficiaries before allowing payment. The primary function of the CMS-
855I Medicare enrollment application for physicians and non-physician 
practitioners is to gather information from an individual provider or 
supplier that tells us who he/she is, whether he/she meets certain 
qualifications to be a Medicare health care provider or supplier, where 
he/she practices or renders services, and other information necessary 
to establish correct claims payments.
    The collection and verification of this information is the first 
line defense to defend and protect our beneficiaries from illegitimate 
physicians, non-physician practitioners, and other eligible 
professionals and to protect the Medicare Trust Fund against fraud. It 
gathers information that allow Medicare contractors to ensure only 
legitimate physicians, non-physician practitioners, and other eligible 
professionals enroll in the Medicare program, and are not sanctioned 
from the Medicare and/or Medicaid program(s), or debarred, or excluded 
from any other Federal agency or program. This is the sole instrument 
implemented for this purpose. Form Number: CMS-855I (OMB control number 
0938-1355); Frequency: Occasionally; Affected Public: State, Local, or 
Tribal Governments, Private Sector (not-for-profit institutions); 
Number of Respondents: 472,617; Number of Responses: 472,617; Total 
Annual Hours: 961,651. (For policy questions regarding this collection 
contact Frank Whelan at 410-786-1302).


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    Dated: December 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-27739 Filed 12-20-22; 8:45 am]
BILLING CODE 4120-01-P