Notice2023-20236
Agency Information Collection Activities; Submission for OMB Review; Comment Request; Eligibility Questionnaire for HAVANA Act Payments
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
September 19, 2023
Issuing agencies
Commerce Department
Full Text
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<title>Federal Register, Volume 88 Issue 180 (Tuesday, September 19, 2023)</title>
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[Federal Register Volume 88, Number 180 (Tuesday, September 19, 2023)]
[Notices]
[Page 64409]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-20236]
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DEPARTMENT OF COMMERCE
Office of the Secretary
Agency Information Collection Activities; Submission for OMB
Review; Comment Request; Eligibility Questionnaire for HAVANA Act
Payments
The Department of Commerce will submit the following information
collection request to the Office of Management and Budget (OMB) for
review and clearance in accordance with the Paperwork Reduction Act of
1995, on or after the date of publication of this notice. We invite the
general public and other Federal agencies to comment on proposed, and
continuing information collections, which helps us assess the impact of
our information collection requirements and minimize the public's
reporting burden. Public comments were previously requested via the
Federal Register on June 13, 2023, during a 60-day comment period. This
notice allows for an additional 30 days for public comments.
Agency: Office of the Secretary, Department of Commerce.
Title: Eligibility Questionnaire for HAVANA Act Payments.
OMB Control Number: 0690-0037.
Form Number(s): CD-350.
Type of Request: Regular submission, extension of approved
information collection.
Number of Respondents: 20.
Average Hours per Response: 1 hour (30 minutes claimant/30 minutes
physician).
Burden Hours: 20.
Needs and Uses: An individual wishing to make a claim under the
HAVANA Act IFR will fill out the ``Patient Demographics'' portion of
the Eligibility Questionnaire (CD-350) and provide it to a physician
currently certified with the American Board of Psychiatry and Neurology
(ABPN), the American Osteopathic Board of Neurology and Psychiatry
(AOBNP), the American Board of Physical Medicine and Rehabilitation
(ABPMR) or the American Osteopathic Board of Physical Medicine and
Rehabilitation (AOBPMR). The board-certified physician will complete
the form after examining the individual and reviewing their records and
will fax or email the completed form to the Department. The physician's
findings will be instrumental in determining the individual's
eligibility for payment under the HAVANA Act.
As noted in the IFR, the Department believes that many respondents
to this information are already known to the Department due to prior
reporting. Nevertheless, the Department notes that this form, which
will be available on <a href="http://www.commerce.gov/havana-act">www.commerce.gov/havana-act</a>, can be completed by
any Department covered employee, covered individual, or covered
dependent as a way of beginning an application for a HAVANA Act
payment. Respondents to this information collection are individuals who
believe they are eligible for payment under the HAVANA Act (Section I
of the form) and physicians responsible for evaluating their symptoms
and impairment (Section II of the form).
Affected Public: Individuals or Federal Government personnel.
Frequency: One-time payment.
Respondent's Obligation: Voluntary.
Legal Authority: HAVANA Act of 2021 (Pub. L. 117-46).
This information collection request may be viewed at
<a href="http://www.reginfo.gov">www.reginfo.gov</a>. Follow the instructions to view the Department of
Commerce collections currently under review by OMB.
Written comments and recommendations for the proposed information
collection should be submitted within 30 days of the publication of
this notice on the following website <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>.
Find this particular information collection by selecting ``Currently
under 30-day Review--Open for Public Comments'' or by using the search
function and entering either the title of the collection or the OMB
Control Number 0690-0037.
Sheleen Dumas,
Department PRA Clearance Officer, Office of the Under Secretary of
Economic Affairs, Commerce Department.
[FR Doc. 2023-20236 Filed 9-18-23; 8:45 am]
BILLING CODE 3510-17-P
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</html>Indexed from Federal Register on September 19, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.