The Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 created a new voluntary
prescription drug benefit program with a subsidy for eligible
beneficiaries. Approximately 19 million Medicare beneficiaries will
receive form OMB No. 0960-0696 (SSA-1020), the application for the
subsidy. SSA plans to phone those recipients who have not yet
returned the form and encourage them to do so immediately to allow
for sufficient processing time. The respondents are potential
applicants for the Medicare Part D subsidy.
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.