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Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
ICR 201007-0960-004 · OMB 0960-0695 · Object 18760001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs |
| Subject | Section 1860 D-14 of the Social Security Act authorizes the collection of information requested on this form. The information yo |
| Author | Social Security Administration |
| File Modified | 2010-11-15 |
| File Created | 2010-09-21 |
| Conversion State | complete |