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Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
ICR 202008-0960-004 · OMB 0960-0695 · Object 103375301.
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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, Form SSA-1021 |
| Author | Social Security Administration |
| File Modified | 2020-05-15 |
| File Created | 2013-11-21 |
| Conversion State | complete |