Request for Non-substantive Change to an Existing Information Collection Request
OMB Approval # 0920-0891– Expiration date 12/31/2014
Justification for non-substantive change:
The James Zadroga 9/11 Health and Compensation Act of 2010 (the Act) established the World Trade Center (WTC) Health Program. The law requires the WTC Health Program to provide monitoring and treatment benefits to responders and survivors who are determined to be eligible for the Program. The Act clearly outlines eligibility requirements based on an individual’s activities, location, and/or time within a specific geographic area. To determine eligibility, the WTC Health Program uses the approved applications in the current package (0920-0891).
We would like to make minor changes to these forms to improve clarity for the applicant and to accurately reflect the Act. The following two changes will be made:
On the FDNY application on page 2, an “or” has been changed to an “and” to accurately reflect legal requirements for eligibility for FDNY family members.
On all three applications, the WTC Health Program’s Office of General Counsel has requested citations to statutory language be added in the attestation section of the application to apply for benefits to the Program.
No additional burden will be added to the respondents as this collection is already accounted for in the current OMB package (0920-0891). The respondent does not complete any additional paperwork as the edits are minor changes to current language on the applications.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CDC User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-27 |