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OMB No. 09381378 Expires: 7/31/2023Individual Enrollment Request Form to Enroll in a Medicare Prescription Drug Plan (Part D) Who can use this form? People with Medicare who want to join a Medicare
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The read form OMB no is a standardized form used to collect information from federal agencies for review and approval by the Office of Management and Budget (OMB).
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The read form OMB no requires federal agencies to report detailed information about the proposed information collection, including the purpose of the collection, the intended use of the information, and the burden it places on respondents.
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