View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0695	ICR Reference No: 201312-0960-002
Status: Historical Active	Previous ICR Reference No: 201007-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Appeal of Determination for Help with Medicare Prescription Drug Plan Costs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/16/2014
	Date Received in OIRA: 04/03/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	06/30/2014
Responses	16,338	0	75,000
Time Burden (Hours)	2,723	0	12,500
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	16,338	75,000	-58,662
Annual Time Burden (Hours)	2,723	12,500	-9,777
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: When we last cleared this information collection in 2011, the burden was 12,500 hours. However, we are currently reporting a burden of 2,723 hours. This change stems from a decrease in the number of respondents from 75,000 to 16,338. Because of the provisions of Public Law 110-275, we removed questions from the information collection Form SSA-1020 (OMB No. 0960-0696) pertaining to life insurance as a resource and in-kind support and maintenance as income from the Extra Help application. This action caused a decrease in the number of denied Extra Help applicants and, consequently, a reduction in the number of respondents using form SSA-1021 to appeal.

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