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Notice2026-222102026-10-30

Agency Information Collection Activities; Submission for OMB Review; Comment Request; Eligibility Questionnaire for HAVANA Act Payments

Commerce Department,

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Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Commerce Office of the Secretary ( printed page 68488) 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 January 27, 2026, 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 Am…

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Citation: 91 FR 68488