SSA-1026-OCR-SM-REDE - Current

SSA-1026-REDE - Current.pdf

Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs

SSA-1026-OCR-SM-REDE - Current

OMB: 0960-0723

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0723 can be found here:

2021-03-15 - Revision of a currently approved collection
2020-01-03 - No material or nonsubstantive change to a currently approved collection

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File Type	application/pdf
File Title	Social Security Administration Review of your Eligibility for Extra Help
Subject	We must review your eligibility for Extra Help with Medicare prescription drug plan costs. We will check to be sure that you are
Author	SSA
File Modified	2017-05-16
File Created	2015-04-10