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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)
Unchanged
200000
100000
0
Other-Screens for SSA field office interview
Application for Help with Medicare Prescription Drug Plan Costs (Paper Form)
Unchanged
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 Extra Help with Medicare Prescription Drug Plan Costs
MSP Follow-Up Letter for 2010
Unchanged
20000
1333
0
Other-MSP Follow-Up Letter
Total burden requested under this ICR:
1020000
481333
0
To view an IC, click on IC Title
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