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0938-1441 202304-0938-019
Historical Active 202301-0938-003
HHS/CMS CM CPC
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program (CMS-10831)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/22/2023
Retrieve Notice of Action (NOA) 04/27/2023
Prior to the re-submission of the information collection (IC) “Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program” (0938-1441), CMS will assess linguistic preferences across the Medicare population and translate this IC into additional languages as appropriate in order to increase accessibility and reduce health disparities. It is the expectation that CMS will translate this form into more languages that English and Spanish, but the number of additional languages will be based on the agency’s assessment its population needs but these languages could include both Traditional and Simplified Chinese, Vietnamese, Korean, Tagalog, Arabic, French, and Russian. This request is supported by the principles and priorities set forth in the memorandum titled “Improving Access to Public Benefits Programs Through the Paperwork Reduction Act” (April 13, 2022), the Executive Order 13985 on “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government” (January 20, 2021), and the culturally and linguistically appropriate services (CLAS) standards (https://thinkculturalhealth.hhs.gov/clas/what-is-clas).
  Inventory as of this Action Requested Previously Approved
11/30/2024 36 Months From Approved
110,686 0 0
11,701 0 0
0 0 0