[Federal Register: October 12, 2001 (Volume 66, Number 198)]
[Notices]
[Page 52139]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12oc01-92]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-131]
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) (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.
Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Advance
Beneficiary Notice; Form No.: CMS-R-131 (OMB# 0938-0566); Use:
Physicians, practitioners, suppliers, and providers furnishing Part A
or Part B items or services may bill a patient for items or services
denied by Medicare as not reasonable and necessary if they informed the
patient, before furnishing the item or service, that Medicare was
likely to deny payment for the items or services and the patient, after
being informed, agreed to pay for the items or services; Frequency: On
occasion; Affected Public: Businesses or other for-profit, Individuals
or households, Not-for-profit institutions; Number of Respondents;
1,028,585; Total Annual Responses: 19,660,110; Total Annual Hours:
1,638,345.
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://www.hcfa.gov/regs/prdact95.htm, or E-mail
your request, including your address, phone number, OMB number, and
HCFA document identifier, to Paperwork@hcfa.gov, 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 Information
Services, Security and Standards Group, Division of CMS Enterprise
Standards, Attention: Julie Brown, CMS-R-131, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: October 4, 2001.
John P. Burke III,
Reports Clearance Officer, Security and Standards Group, Division of
CMS Enterprise Standards.
[FR Doc. 01-25686 Filed 10-11-01; 8:45 am]
BILLING CODE 4120-03-M