SSA-8510 – Medicare Subsidy Quality Review (paper version)

Authorization for the Social Security Administration to Obtain Personal Information

OMB: 0960-0801

IC ID: 216301

Information Collection (IC) Details

View Information Collection (IC)

SSA-8510 – Medicare Subsidy Quality Review (paper version)
 
No New
 
Voluntary
 
20 CFR 404.1926 20 CFR 416.203 20 CFR 404.704 20 CFR 404.820 - 404.823 20 CFR 418.3001

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information SSA-8510.pdf No   Paper Only

Income Security General Retirement and Disability

 

3,500 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 3,500 0 3,500 0 0 0
Annual IC Time Burden (Hours) 292 0 292 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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