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OMB Control No: 0960-0702	ICR Reference No: 202607-0960-009
Status: Received in OIRA	Previous ICR Reference No: 202010-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Medicare Part D Subsidies
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/27/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	187	336
Time Burden (Hours)	16	29
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	187	336	0	-149
Annual Time Burden (Hours)	16	29	1	-14
Annual Cost Burden (Dollars)	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: When we cleared this ICR in 2023, the burden was 29 hours. However, we are currently reporting a burden of 16 hours. The decrease in burden is due to a decrease in the number of respondents requesting administrative review and may also be due to the impact of the Inflation Reduction Act (IRA) of 2022 which resulted in more individuals being eligible for full subsidy and consequently not opting to file appeals.

Annual Cost to Federal Government: $40,552

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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