Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, and 424.24

ICR 201306-0938-007

OMB: 0938-0730

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-06-10
ICR Details
0938-0730 201306-0938-007
Historical Active 201006-0938-018
HHS/CMS 19764
Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61, 415.110, and 424.24
Extension without change of a currently approved collection   No
Regular
Approved without change 07/26/2013
Retrieve Notice of Action (NOA) 06/13/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 08/31/2013
26,820 0 26,820
7,197 0 7,197
0 0 0

Section 4507 of BBA 1997 amended section 1802 of the Social Security Act to permit certain physicians and practitioners to opt-out of Medicare and to provide through private contracts services that would otherwise be covered by Medicare. Under such contracts the mandatory claims submission and limiting charge rules of section 1848(g) of the Act would not apply. Subpart D and the Supporting Regulations contained in 42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, and 405.455, counters the effect of certain provisions of Medicare law that, absent section 4507 of BBA 1997, preclude physicians and practitioners from contracting privately with Medicare beneficiaries to pay without regard to Medicare limits.

PL: Pub.L. 105 - 33 4507 Name of Law: Use of Private Medicare Beneficaries
   Statute at Large: 42 Stat. 4507 Name of Statute: null
  
None

Not associated with rulemaking

  78 FR 20323 04/04/2013
78 FR 34390 06/07/2013
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 26,820 26,820 0 0 0 0
Annual Time Burden (Hours) 7,197 7,197 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/13/2013


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