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Enrolling Low-Income Beneficiaries into the Medicare Prescription Drug Program Survey of State Agency Experiences

IC 43680 under ICR 200605-0938-006 · OMB 0938-0996.

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Enrolling Low-Income Beneficiaries into the Medicare Prescription Drug Program Survey of State Agency Experiences
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10181 Yes Yes


    

126 0
   
State, Local, and Tribal Governments
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 126 0 126 0 0 0
Annual IC Time Burden (Hours) 63 0 63 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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