[Federal Register Volume 80, Number 176 (Friday, September 11, 2015)]
[Notices]
[Pages 54793-54794]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22944]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers CMS-855S ]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid 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 (the 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 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates 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
[[Page 54794]]
other forms of information technology to minimize the information
collection burden.
DATES: Comments must be received by November 10, 2015.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number _________, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-855S Medicare Enrollment Application--Durable Medical Equipment,
Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers
Under the 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 requires federal agencies
to publish a 60-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.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection;
Title of Information Collection: Medicare Enrollment Application--
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Suppliers; Use: The primary function of the CMS 855S Durable Medical
Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) supplier
enrollment application is to gather information from a supplier that
tells us who it is, whether it meets certain qualifications to be a
health care supplier, where it renders its services or supplies, the
identity of the owners of the enrolling entity, and information
necessary to establish correct claims payment.
The goal of this revision of the CMS 855S is to simplify and
clarify the current data collection and to remove obsolete and/or
redundant questions. Grammar and spelling errors were corrected.
Limited informational text has been added within the application form
and instructions in conjunction with links to Web sites when greater
detail is needed by the supplier. To clarify current data collection
differentiations and to be in sync with accreditation coding, Section
3D (``Products and Services Furnished by This Supplier'') has been
updated. This revision does not offer any new material data collection.
Form Number: CMS-855S (OMB Control Number: 0938-1056); Frequency:
Annually; Affected Public: Private Sector (Business or other for-
profits and Not-for-profit institutions); Number of Respondents:
31,915; Total Annual Responses: 31,915; Total Annual Hours: 36,842.
(For policy questions regarding this collection contact Kim McPhillips
at 410-786-5374.)
Dated: September 8, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-22944 Filed 9-10-15; 8:45 am]
BILLING CODE 4120-01-P