Medicare Subsidy Quality Review Case Analysis

ICR 200812-0960-011

OMB: 0960-0707

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
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
Supporting Statement A
2008-12-31
Supplementary Document
2008-12-22
IC Document Collections
ICR Details
0960-0707 200812-0960-011
Historical Active 200708-0960-007
SSA
Medicare Subsidy Quality Review Case Analysis
Revision of a currently approved collection   No
Regular
Approved without change 02/20/2009
Retrieve Notice of Action (NOA) 12/31/2008
  Inventory as of this Action Requested Previously Approved
02/29/2012 36 Months From Approved 11/30/2010
34,000 0 74,500
8,085 0 18,625
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. Beginning in January 2010, SSA will revise the Medicare Quality Review system to comply with P.L. 110-275. Specifically, we will: 1) Eliminate the use of Form SSA-9309, the Life Insurance Verification form; and 2) remove any questions about life insurance policy values and in-kind support and maintenance from the other forms in the collection. This ICR is for the revised Medicare Quality Review System, which we will not use until January 2010. The respondents are applicants for the Medicare Part D subsidy whom we have chosen to undergo a Quality Review.

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

  73 FR 64004 10/28/2008
73 FR 79537 12/29/2008
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 34,000 74,500 0 -8,000 -32,500 0
Annual Time Burden (Hours) 8,085 18,625 0 -2,416 -8,124 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Changing Regulations
Burden reduction due to 1)decreased number of respondents (adjustment) and 2) elimination of certain questions and 1 form (SSA-9308) due to provisions of P.L. 110-275.

$220,200
No
No
Uncollected
Uncollected
Uncollected
Uncollected
John Biles 410 965-3758 John.Biles@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.
12/31/2008


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