[Federal Register Volume 62, Number 243 (Thursday, December 18, 1997)]
[Notices]
[Pages 66376-66377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-33066]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Form #HCFA-855]


Emergency Clearance: Public Information Collection Requirements 
Submitted to the Office of Management and Budget (OMB)

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Health Care Financing 
Administration (HCFA), Department of Health and Human Services (DHSS), 
has submitted to the Office of Management and Budget (OMB) the 
following request for Emergency review. We are requesting an emergency 
review because the collection of this information is needed prior to 
the expiration of the normal time limits under OMB's regulations at 5 
C.F.R., Part 1320. The Agency cannot reasonably comply with the normal 
clearance procedures because a statutory deadline imposed by the 
Balanced Budget Act of 1997 (Pub. L. 105-33). Without this information, 
HCFA would not be able to properly implement the requirements set forth 
in the statute.
    HCFA is requesting OMB review and approval of this collection by 
12/31/97, with a 180-day approval period. Written comments and 
recommendations will be accepted from the public if received by the 
individual designated below, by 12/29/97.
    During this 180-day period HCFA will pursue OMB clearance of this 
collection as stipulated by 5 CFR. 1320.5.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare and 
Other Federal Health Care Program Providers/Supplier Enrollment 
Application; Form No.: HCFA-855, HCFA-855C, HCFA-855R, HCFA-855S; Use: 
This information is needed to enroll providers and suppliers into the 
Medicare program by identifying them, and verifying their 
qualifications and eligibility to participate in Medicare, and to price 
and pay their claims.; Frequency: Initial Enrollment/Recertification; 
Affected Public: Business or other for-profit, individuals or 
households, not-for-profit institutions, and Federal Government; Number 
of Respondents: 225,000; Total Annual Responses: 225,000; Total Annual 
Hours: 435,000.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access HCFA's 
Web

[[Page 66377]]

Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail your 
request, including your address, phone number, and HCFA form number(s) 
referenced above, to P<a href="/cdn-cgi/l/email-protection#3859485d4a4f574a5378505b5e59165f574e"><span class="__cf_email__" data-cfemail="a7c6d7c2d5d0c8d5cce7cfc4c1c689c0c8d1">[email protected]</span></a>, or call the Reports Clearance 
Office on (410) 786-1326.
    Interested persons are invited to send comments regarding the 
burden or any other aspect of these collections of information 
requirements. However, as noted above, comments on these information 
collection and recordkeeping requirements must be mailed and/or faxed 
to the designee referenced below, by 12/29/97: Office of Information 
and Regulatory Affairs, Office of Management and Budget, Room 10235, 
New Executive Office Building, Washington, DC 20503, Fax Number: (202) 
395-6974 or (202) 395-5167 Attn: Allison Herron Eydt, HCFA Desk 
Officer.

    Dated: December 12, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Information Technology Investment Management Group, Division of HCFA 
Enterprise Standards.
[FR Doc. 97-33066 Filed 12-17-97; 8:45 am]
BILLING CODE 4120-03-P


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