"Part G"

Medicare Part B Income-Related Monthly Adjustment Amount

OMB: 0960-0741

IC ID: 45810

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"Part G"
 
No New
 
Voluntary
 
20 CFR 418.1350 20 CFR 418.1340 20 CFR 418.1355

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

Income Security General Retirement and Disability

 

1 0
   
Individuals or Households
 
   0 %

  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 1 1 0 0 0 0
Annual IC Time Burden (Hours) 1 1 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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