Information Collection

Medicare Part D Subsidy Rules - Section 20 CFR 418.3665(a)

IC 185021 under ICR 201704-0960-002 · OMB 0960-0702.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0702 can be found here:

Documents and Forms

Document Name Document Type
418.3665 (a).pdf Other-Regulation Section

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medicare Part D Subsidy Rules - Section 20 CFR 418.3665(a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 418.3665(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Regulation Section			418.3665 (a).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	275	-25	300
Annual IC Time Burden (Hours)	23	-2	25
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.