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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)
Modified
278613
139307
0
Other-Screens for SSA field office interview
Application for Help with Medicare Prescription Drug Plan Costs (Paper Form)
Modified
724238
362119
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
409189
170495
0
Form and Instruction
i1020
Internet Application for Extra Help with Medicare Prescription Drug Plan Costs
MSP Follow-Up Letter for 2010
Removed
0
0
0
Other-MSP Follow-Up Letter
Total burden requested under this ICR:
1412040
671921
0
To view an IC, click on IC Title