Justification for the Non-Substantive Changes to 0960-0707

Justification for Non-Substantive Changes for SSA-9301, -9302, -9303, - 9313, -9314

Medicare Subsidy Quality Review Forms

20 CFR 418(b)(5)

OMB No. 0960-0707

Revisions to the Information Collection

• Change #1: SSA-9301 page 1, we removed the word “Level” from question #1.

Justification #1: On August 16, 2022, Congress passed the

Inflation Reduction Act (IRA) (Public Law 117-169). Section 11404 of the IRA expands Medicare Part D Low Income Subsidy (LIS) Extra Help eligibility. The IRA becomes effective January 1, 2024, and affects aspects of our Medicare Part D LIS reviews. This non-substantive change revises form SSA-9301 to comply with the IRA legislation prior to our next review cycle.

Specifically, this collection’s clearance package was submitted in January 2021 and is up for renewal in May 2026. The IRA legislation was passed in August 2022 and becomes effective in January 2024. Non-substantive changes are required prior to our next review cycle.

• Change #2: SSA-9301 page 14, we removed “Cafeteria Plan” and the associated check boxes.

Justification #2: On August 16, 2022, Congress passed the

Inflation Reduction Act (IRA) (Public Law 117-169). Section 11404 of the IRA expands Medicare Part D Low Income Subsidy (LIS) Extra Help eligibility. The IRA becomes effective January 1, 2024, and affects aspects of our Medicare Part D LIS reviews. This non-substantive change revises form SSA-9301 to comply with the IRA legislation prior to our next review cycle.

Specifically, this collection’s clearance package was submitted in January 2021 and is up for renewal in May 2026. The IRA legislation was passed in August 2022 and becomes effective in January 2024. Non-substantive changes are required prior to our next review cycle.

• Change #3: SSA-9301 page 16, we added “Income caused ineligibility” and associated check boxes. We also removed the two statements and check boxes below the “REMARKS/DEFICIENCY ANALYSIS” header.

Justification #3: On August 16, 2022, Congress passed the

Inflation Reduction Act (IRA) (Public Law 117-169). Section 11404 of the IRA expands Medicare Part D Low Income Subsidy (LIS) Extra Help eligibility. The IRA becomes effective January 1, 2024, and affects aspects of our Medicare Part D LIS reviews. This non-substantive change revises form SSA-9301 to comply with the IRA legislation prior to our next review cycle.

Specifically, this collection’s clearance package was submitted in January 2021 and is up for renewal in May 2026. The IRA legislation was passed in August 2022 and becomes effective in January 2024. Non-substantive changes are required prior to our next review cycle.

• Change #4: SSA-9302, -9303, - 9313, -9314. In the IMPORTANT INFORMATION section, we removed the word “level” from the second sentence and the words “level increasing, decreasing, or” from the fourth sentence.

Justification #4: On August 16, 2022, Congress passed the

Inflation Reduction Act (IRA) (Public Law 117-169). Section 11404 of the IRA expands Medicare Part D Low Income Subsidy (LIS) Extra Help eligibility. The IRA becomes effective January 1, 2024, and affects aspects of our Medicare Part D LIS reviews. This non-substantive change revises forms SSA-9302, -9303, -9313, and -9314 to comply with the IRA legislation prior to our next review cycle.

Specifically, this collection’s clearance package was submitted in January 2021 and is up for renewal in May 2026. The IRA legislation was passed in August 2022 and becomes effective in January 2024. Non-substantive changes are required prior to our next review cycle.

Terms of Clearance

OMB placed the following Terms of Clearance on this Information Collection when they approved it on May 18, 2023:

Prior to renewal, the agency will update the supporting statement question prompt #2 to clarify how the agency adjudicates or further investigates respondents who refuse or fail to respond to this voluntary collection.

No later than one year prior to the resubmission of this information collection for triannual renewal, the agency will evaluate, and share with OMB the reasoning and results of the evaluation, the capacity to electronically receive and process this form through eSubmit or an alternative electronic submission method.

SSA Response: In response to the Terms of Clearance we understand that we need to update prompt #2 of the Supporting Statement prior to resubmission for a full approval process. In addition, we are in the process of evaluating the capacity to electronically receive and process this form through Document Uploader (eSubmit) or an alternative electronic submission method and we will share the results of this evaluation with OMB no later than one year prior to resubmission of this collection for renewal.

Resubmission within One Year of OMB Approval:

As previously indicated, these changes are rooted in recent legislation that passed after the July 2022 clearance package submission. The new legislation takes effect January 1, 2024, within twelve months of the May 18, 2023 OMB approval.