Application for Extra Help With Medicare Prescription Drug Plan Costs (field office interview)

Revised Screens

Justification for Non-Substantive Change to

Form SSA-1020/i1020

Application for Extra Help with Medicare Prescription Drug Plan Costs

OMB No. 0960-0696

Change 1:

Revised MEDQ Default Screen (QDIS)

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Revised QDIS display: Client Data section (Part A tab)

Revised QDIS display: Client Data section (Part B tab)

Revised QDIS display: Client Data section (Part C tab)

Revised QDIS display: Applicant Data section (Part D & ‘All’ tab)

Revised QDIS display: Spouse Data section (Part D & ‘All’ tab)

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