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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application for Extra Help With Medicare Prescription Drug Plan Costs (field office interview)
New
200000
100000
0
Other-Screens for SSA field office interview
Application for Help with Medicare Prescription Drug Plan Costs (Paper Form)
Modified
560000
280000
0
Form and Instruction
SSA-1020
Application for Help with Medicare Prescription Drug Plan Costs
Internet Application for Help with Medicare Prescription Drug Plan Costs
Modified
240000
100000
0
Form and Instruction
i1020
Internet Application for Help with Medicare Prescription Drug Plan Costs
Total burden requested under this ICR:
1000000
480000
0
To view an IC, click on IC Title