Medicare Subsidy Quality Review

ICR 202306-0960-003

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
Modified
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2023-07-20
Supporting Statement A
2021-01-28
IC Document Collections
ICR Details
0960-0707 202306-0960-003
Active 202010-0960-008
SSA
Medicare Subsidy Quality Review
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/20/2023
Retrieve Notice of Action (NOA) 07/20/2023
Previous Terms of Clearance remain in effect.
  Inventory as of this Action Requested Previously Approved
05/31/2026 05/31/2026 05/31/2026
21,350 0 21,350
5,631 0 5,631
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. This is a non-substantive Change Request based on a legislative change due to the Inflation Reduction Act (IRA) (Public Law 117-169), Section 11404, which expands Medicare Part D Low Income Subsidy (LIS) Extra Help eligibility. We are making minor language changes to the form and instruction due to this legislative change.

PL: Pub.L. 110 - 275 100 Name of Law: Medicare Improvements for Patients and Providers Act of 2008
   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

Not associated with rulemaking

  85 FR 76142 11/27/2020
86 FR 7446 01/28/2021
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 21,350 21,350 0 0 0 0
Annual Time Burden (Hours) 5,631 5,631 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$245,934
No
    Yes
    Yes
No
No
No
No
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.
07/20/2023


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