Medicare Part D Subsidies

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Medicare Part D Subsidies Regs (0960-0702) FL edited version.docx	Supporting Statement A	Uploaded 2014-07-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9756	Medicare Part D Subsidy Rules - Section 20 CFR 418.3625(c)	Other-Regulation Section	Modified
185022	Medicare Part D Subsidy Rules - Section 20 CFR 418.3670	Other-Regulation Section	Modified
185021	Medicare Part D Subsidy Rules - Section 20 CFR 418.3665(a)	Other-Regulation Section	Modified
185020	Medicare Part D Subsidy Rules - Section 20 CFR 418.3645	Other-Regulation Section	Modified

ICR Details

OMB Control No: 0960-0702	ICR Reference No: 201404-0960-007
Status: Historical Active	Previous ICR Reference No: 201102-0960-010
Agency/Subagency: SSA	Agency Tracking No:
Title: Medicare Part D Subsidies
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/04/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/28/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	10/31/2014
Responses	461	0	3,515
Time Burden (Hours)	41	0	295
Cost Burden (Dollars)	0	0	0

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Abstract: The Medicare Prescription Drug Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low-income individuals. The MMA also mandated the provision of subsidies for those individuals who qualify for the program and who meet eligibility criteria for help with premium, deductible, or co-payment costs. This law requires SSA to make eligibility determinations and to provide a process for appealing SSA's determinations. Regulation sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain public reporting requirements pertaining to administrative review hearings. Respondents are applicants for the Medicare Part D subsidies who request an administrative review hearing.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 101 Name of Law: Medicare Modernization Act of 2003
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 28585	05/16/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 42863	07/23/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Medicare Part D Subsidy Rules - Section 20 CFR 418.3625(c)
Medicare Part D Subsidy Rules - Section 20 CFR 418.3645
Medicare Part D Subsidy Rules - Section 20 CFR 418.3665(a)
Medicare Part D Subsidy Rules - Section 20 CFR 418.3670

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ICR Summary of Burden

table that charts list of burden

	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	461	3,515	0	0	-3,054	0
Annual Time Burden (Hours)	41	295	0	0	-254	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When SSA last cleared this information collection request in 2011, the annual burden estimate was 295 hours. However, we are currently reporting an annual burden of 41 hours. This change stems from a decrease in the number of respondents requesting an administrative review.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/28/2014

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