State Health Insurance Assistance Program Annual Sub-Recipients Report

OMB 0985-0070

OMB 0985-0070

The purpose of the State Health Insurance Assistance Program Annual Sub-Recipients Report is to collect sub-award data from grantees, including agency name, address, and annual federal funds received. Congress requires this data collection for program monitoring for the State Health Insurance Assistance Program (SHIP) under SEC. 50207(b). This data collection allows the Center for Innovation and Partnership within the Administration for Community Living, to communicate with Congress and the public on the SHIP network of agencies. This is a new data collection requiring State SHIP grantees to provide the amount of federal funds provided annually to each sub-contractor and sub-grantee that are delivering SHIP services. The data collected will be will be electronically posted on the ACL website to educate the network on who the SHIP state sub-recipients are and how much money they are receiving. SHIP grantees are located in each of the 50 states, the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands. The respondents for this data collection are grantees who meet with Medicare beneficiaries and older adults’ in-group settings and in one-on-one sessions to educate them on Medicare.

The latest form for State Health Insurance Assistance Program Annual Sub-Recipients Report expires 2023-12-31 and can be found here.


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