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Form SSA-1026-OCR-SM-RE SSA Review of Your Eligibility for Extra Help
Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs
SSA-1026-REDE - Revised
SSA- 1026-REDE SSA Review of Your Eligibility for Extra Help
OMB: 0960-0723
OMB.report
SSA
OMB 0960-0723
ICR 201707-0960-003
IC 9780
Form SSA-1026-OCR-SM-RE SSA Review of Your Eligibility for Extra Help
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0723 can be found here:
2021-03-15 - Revision of a currently approved collection
2020-01-03 - No material or nonsubstantive change to a currently approved collection
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File Title
P3270MF-20170927141917
File Modified
2017-09-27
File Created
2017-09-27
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