The Health Coverage Improvement,
Section 1899E of the ARRA authorizes the continuation of HCTC
benefits for qualified family members after the original HCTC
candidate has been canceled from the program due to Medicare
enrollment. The original HCTC candidate will complete this form in
order to continue enrollment for or to register their family
members in the monthly HCTC program.
US Code:
26 USC
35 Name of Law: Health insurance costs of eligible
individuals
PL:
Pub.L. 111 - 5 1899E Name of Law: American Recovery and
Reinvestment Act 2009
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.