Document
Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs.
ICR 201703-0960-013 · OMB 0960-0695 · Object 74671301.
This document may belong to an older filing. More recent activity for OMB 0960-0695:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs. |
| Subject | Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs. |
| Author | SSA |
| File Modified | 2017-06-13 |
| File Created | 2015-05-05 |
| Conversion State | complete |