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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
108194
54097
0
Other-Screens for SSA field office interview
Application for Help with Medicare Prescription Drug Plan Costs (Paper Form)
Unchanged
531715
265858
0
Form and Instruction
SSA-1020
Application for Help with Medicare Prescription Drug Plan Costs
Other-Revised PA Statement
Internet Application for Help with Medicare Prescription Drug Plan Costs
Unchanged
346642
144434
0
Form and Instruction
i1020
Internet Application for Extra Help with Medicare Prescription Drug Plan Costs
Total burden requested under this ICR:
986551
464389
0
To view an IC, click on IC Title