Medicare Part D Subsidies

ICR 201102-0960-010

OMB: 0960-0702

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2011-08-29
ICR Details
0960-0702 201102-0960-010
Historical Active 200805-0960-026
SSA
Medicare Part D Subsidies
Extension without change of a currently approved collection   No
Regular
Approved without change 10/03/2011
Retrieve Notice of Action (NOA) 08/29/2011
  Inventory as of this Action Requested Previously Approved
10/31/2014 36 Months From Approved 09/30/2011
3,515 0 3,515
295 0 295
0 0 0

The Medicare Prescription Drug Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low-income individuals. The MMA also mandated the provision of subsidies for those individuals who qualify for the program and who meet eligibility criteria for help with premium, deductible, or co-payment costs. This law requires SSA to make eligibility determinations and to provide a process for appealing SSA's determinations. Regulation sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain public reporting requirements pertaining to administrative review hearings. Respondents are applicants for the Medicare Part D subsidies who request an administrative review hearing.

PL: Pub.L. 108 - 173 101 Name of Law: Medicare Modernization Act of 2003
  
None

Not associated with rulemaking

  76 FR 38448 06/30/2011
76 FR 53702 08/29/2011
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,515 3,515 0 0 0 0
Annual Time Burden (Hours) 295 295 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/29/2011


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