Medicare Subsidy Quality Review

ICR 201706-0960-007

OMB: 0960-0707

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Removed
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Supporting Statement A
2017-10-20
Supplementary Document
2017-10-20
IC Document Collections
ICR Details
0960-0707 201706-0960-007
Active 201407-0960-004
SSA
Medicare Subsidy Quality Review
Revision of a currently approved collection   No
Regular
Approved without change 05/03/2018
Retrieve Notice of Action (NOA) 10/20/2017
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
21,350 0 24,850
5,631 0 5,923
0 0 0

The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. As part of its stewardship duties of the Medicare Part D subsidy program, SSA must conduct periodic quality review checks of the information Medicare beneficiaries report on their subsidy applications (Form SSA-1020). SSA uses the Medicare Quality Review program to conduct these checks.

US Code: 42 USC 1395w-114 Name of Law: Social Security Act
   PL: Pub.L. 110 - 275 100 Name of Law: Medicare Improvements for Patients and Providers Act of 2008
  
PL: Pub.L. 110 - 275 100 Name of Law: Medicare Improvements for Patients and Providers Act of 2008

Not associated with rulemaking

  82 FR 32431 07/13/2017
82 FR 43804 09/19/2017
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 21,350 24,850 0 0 -3,500 0
Annual Time Burden (Hours) 5,631 5,923 0 0 -292 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in burden stems from removal of the burden hours for the SSA-8510 in this ICR. We still use the SSA-8510, but the burden hours are accounted for under OMB Control No. 0960-0801. Since we removed these burden hours, it also caused a decrease in completion time, resulting in a change in burden.

$245,934
No
    Yes
    Yes
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.
10/20/2017


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