[Federal Register Volume 88, Number 180 (Tuesday, September 19, 2023)]
[Notices]
[Page 64409]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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 www.commerce.gov/havana-act, 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 
www.reginfo.gov. 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 www.reginfo.gov/public/do/PRAMain. 
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