# Federal Register #2026-22210

Department of Commerce seeks comments on HAVANA Act payment eligibility questionnaire

**Buyer:** Department of Commerce Office of the Secretary
**Posted:** October 30, 2026
**Identifier:** 2026-22210

The Department of Commerce is seeking public comment on an information collection used to assess eligibility for HAVANA Act payments; this is not a procurement opportunity.
- **Government buyer:** Department of Commerce, Office of the Secretary.
- **Request:** Extension of the Eligibility Questionnaire for HAVANA Act Payments (Form CD-350; OMB Control No. 0690-0037).
  - Applicants complete the patient demographics section; a qualified, board-certified physician evaluates the individual and completes the physician section.
  - The completed form is submitted to the Department. Participation is voluntary and the submission is one-time.
- **Estimated burden:** 20 respondents, one hour per response, and 20 total burden hours.
- **Other named organizations:** Adtran, Inc., and The Premcor Refining Group, Inc., an affiliate of Valero Energy Corporation, appear in separate Foreign-Trade Zones Board regulatory notices. They are not identified as suppliers for this notice.
- **Procurement status:** No products or services are being purchased, and no contract value or performance period is stated.

### Description

The Department of Commerce is submitting the Eligibility Questionnaire for HAVANA Act Payments (Form CD-350) to OMB for review as an extension of an approved information collection. Individuals seeking a HAVANA Act payment complete the patient demographics section, and a qualified board-certified physician evaluates the individual and submits the completed form to the Department. The physician’s findings help determine the individual’s eligibility for payment. The notice invites public comments for an additional 30 days.

[View original listing](https://www.federalregister.gov/documents/2026/10/30/2026-22210/agency-information-collection-activities-submission-for-omb-review-comment-request-eligibility)