[Federal Register Volume 62, Number 35 (Friday, February 21, 1997)]
[Notices]
[Pages 8026-8027]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-4339]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-841-853]


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

AGENCY: Health Care Financing Administration, HHS.
    In compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. 
3501 et seq.), the Health Care Financing Administration (HCFA), 
Department of Health and Human Services, has submitted to the Office of 
Management and Budget (OMB) the following proposals for the collection 
of information. Interested persons are invited to send comments 
regarding the 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

[[Page 8027]]

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.
    3. HCFA-841-853 Type of Information Collection Request: Revision of 
currently approved collection; Title of Information Collection: Durable 
Medical Equipment Regional Carrier, Certificate of Medical Necessity; 
Form Nos.: HCFA-841-853 (formally HCFA-R-182); Use: A Certificate of 
Medical Necessity is a standardized format used to communicate 
information provide by an attending physician and a supplier of medical 
equipment and supplies. The information is used by carriers to 
determine the medical necessity of an item or service covered by the 
Medicare program and being used for the treatment of the Medicare 
beneficiary's condition. The CMNs being submitted for OMB review are 
necessary in order for HCFA to determine the medical necessity of the 
item or service. The information needed to make this determination 
requires application of medical judgment that can only be provided by a 
physician or other clinician who is familiar with the condition of the 
beneficiary; Frequency: On Occasion; Affected Public: Suppliers and 
physicians, business or other for-profit, federal government; Number of 
Respondents: 140,000; Total Annual Responses: 6.8 million; Total Annual 
Hours Requested: 1.7 million.
    To obtain copies of the supporting statement and any related forms, 
E-mail your request, including your address and phone number, to 
P<a href="/cdn-cgi/l/email-protection#1d7c6d786f6a726f765d757e7b7c337a726b"><span class="__cf_email__" data-cfemail="6203120710150d1009220a0104034c050d14">[email protected]</span></a>, or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information 
collections should be sent within 30 days of this notice directly to 
the OMB Desk Officer designated at the following address: OMB Human 
Resources and Housing Branch, Attention: Allison Eydt, New Executive 
Office Building, Room 10235, Washington, DC. 20503.

    Dated: February 18, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-4339 Filed 2-20-97; 8:45 am]
BILLING CODE 4120-03-P


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