Addendum to the Supporting Statement 0960-0723

Addendum.doc

Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs

Addendum to the Supporting Statement 0960-0723

OMB: 0960-0723

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Addendum to the Supporting Statement for


Redetermination of Eligibility For

Extra Help With Medicare Prescription Drug Plan Costs

Forms SSA-1026-REDE (Social Security Administration Review of

Your Eligibility for Extra Help)


and


SSA-1026-SCE (Social Security Administration Reporting a

Change That May Affect Your Extra Help)

20 CFR 418.3125


OMB No. 0960-0723




Minor Revisions to the Collection Instrument


SSA is making the following revisions:


SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the first page of the form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2011-10-12
File Created2011-10-12

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