Medicare Part D Subsidies

ICR 201704-0960-002

OMB: 0960-0702

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2017-07-11
ICR Details
0960-0702 201704-0960-002
Active 201404-0960-007
SSA
Medicare Part D Subsidies
Revision of a currently approved collection   No
Regular
Approved without change 12/13/2017
Retrieve Notice of Action (NOA) 07/14/2017
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved 12/31/2017
426 0 461
37 0 41
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

  82 FR 19304 04/26/2017
82 FR 31132 07/05/2017
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 426 461 0 0 -35 0
Annual Time Burden (Hours) 37 41 0 0 -4 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease in burden stems from a decrease in the number of respondents requesting administrative review.

$0
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.
07/14/2017


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