Supporting Statement B

World Trade Center Health Program Enrollment, Treatment, Appeals & Reimbursement

Revision

Supporting Statement B

Laurie Breyer

Member Services Lead

National Institute for Occupational Safety and Health

WTC Health Program

395 E Street SW,

Suite 9200

Washington DC 20201

202-245-0748

August 31, 2015

Table of Contents

Section B. Data Collection Procedures

B1. Respondent Population and Selection of Respondents

B2. Procedures for the Collection of Information

B3. Methods to Maximize Response Rates and Deal with Nonresponse

B4. Tests of Procedures or Methods to be Undertaken

B5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

B. Collections of Information Employing Statistical Methods

If statistical methods will not be used to select respondents and Item 12 on Part I Worksheet is checked “No,” use this section to describe data collection procedures and combine it with Supporting Statement A in one file. The program should be prepared to justify its decision not to use statistical methods in any case where such methods might reduce burden or improve accuracy of results. When Item 12 on the Part I Worksheet Form is checked “Yes,” the following documentation should be included in the Supporting Statement B to the extent that it applies to the methods proposed. If statistical methods will be used, Supporting Statement B must be a separate electronic file.

Statistical methods are not being used for the collection of information for the WTC Health Program application process. The James Zadroga 9/11 Health and Compensation Act of 2012 (the Act) requires individuals to meet certain criteria to be eligible for health benefits under the Act. The enrollment form collects data on the individual and the required information to be eligible for the Program. Statistical data cannot be used for these purposes.

1. Respondent Universe and Sampling Methods

Sampling will not be used to collect eligibility data in the Program. Information in the application is based on information unique to each individual seeking membership in the Program.

2. Procedures for the Collection of Information

Statistical methods will not be used to collect eligibility data in the Program. Information in the application is based on information unique to each individual seeking membership in the Program.

3. Methods to Maximize Response Rates and Deal with No response

Statistical methods will not be used to collect eligibility data in the Program. Information in the application is based on information unique to each individual seeking membership in the Program.

4. Tests of Procedures or Methods to be Undertaken

Statistical methods will not be used to collect eligibility data in the Program. Information in the application is based on information unique to each individual seeking membership in the Program.

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

Statistical methods will not be used to collect eligibility data in the Program. Information in the application is based on information unique to each individual seeking membership in the Program.