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  
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