View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Medicare
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 406 42 CFR 407

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AA-6 (01-12) No   Paper Only
Form and Instruction AA-7 (01-12) No   Paper Only
Form and Instruction AA-8 (01-12) No   Paper Only

Income Security General Retirement and Disability

RRB-20; Health Insurance and Supplementary Medical Insurance Enrollment and Premium Payment System (Medicare)  79 FR 58874

240 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 240 0 0 0 0 240
Annual IC Time Burden (Hours) 32 0 0 0 0 32
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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