Document

Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs

ICR 202312-0960-004 · OMB 0960-0695 · Object 138360100.

Document Viewer [pdf]

Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · attempts 1 · next 2026-06-05 00:36:38)

Missing: pdf

No local or Spaces-backed artifact is available yet for this document.

Primary: pdfSource: application/octet-stream
Loading document viewer…
Document Metadata
File Typeapplication/octet-stream
File TitleInstructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
SubjectInstructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
AuthorSSA
File Modified2023-07-24
File Created2023-07-24
Conversion Statefailed_conversion