OMB control number
Application for Help with Medicare Prescription Drug Plan Costs (Internet/Intranet Versions)
OMB 0960-0705 · SSA.
OMB 0960-0705
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Application for Help with Medicare Prescription Drug Plan Costs (Internet/Intranet Versions) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200504-0960-003 | New collection (Request for a new OMB Control Number) | 2005-04-07 | Approved with change |