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Form i1020 Internet Application for Help with Medicare Prescription
Application for Help with Medicare Prescription Drug Plan Costs
new i1020 screen shots
Internet Application for Help with Medicare Prescription Drug Plan Costs
OMB: 0960-0696
OMB.report
SSA
OMB 0960-0696
ICR 200812-0960-010
IC 182917
Form i1020 Internet Application for Help with Medicare Prescription
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0696 can be found here:
2021-06-03 - Revision of a currently approved collection
2019-02-01 - No material or nonsubstantive change to a currently approved collection
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File Modified
2008-10-07
File Created
2008-10-07
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