Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs, 20 CFR 418.3125 Modified 1876000 250333 0 Form and Instruction New SSA-1026-OCR-SM-REDE Statement for Continuing Eligibility for Extra Help with Medicare Prescription Drug Plan Costs
Form and Instruction SSA-1026B-OCR-SM Social Security Administration Review of Your Eligibility for Extra Help
Form and Instruction SSA-1026-OCR-SCR Statement for Continuing Eligibility for Extra Help with Medicare Prescription Drug Plan Costs (Reporting A Change That May Affect Your Extra Help)
Total burden requested under this ICR: 1876000 250333 0  
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