Supporting Statement B

0920-0929 World Trade Center Health Program Petition for the Addition of a New WTC-Related Health Condition for Coverage under the World Trade Center (WTC) Health Program

Revision

Supporting Statement B

March 23, 2015

Project Officer:

Rachel Weiss, JD

National Institute for Occupational Safety and Health

1090 Tusculum Ave., MS: C46

Cincinnati, OH 45226

Rweiss@cdc.gov

404-849-1798

Table of Contents

Section B. Collections of Information Employing Statistical Methods

1. Respondent Population and Selection of Respondents

2. Procedures for the Collection of Information

3. Methods to Maximize Response Rates and Deal with Nonresponse

4. Tests of Procedures or Methods to be Undertaken

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or References

B. Collections of Information Employing Statistical Methods

Statistical methods are not being used for the collection of information for the WTC Health Program application process. PHS Act §3312(a)(6)(B) specifies that interested parties may petition the Administrator of the WTC Health Program to request that a new health condition be added to the list of conditions in program regulations. To aid the petitioner, the WTC Health Program provides a petition form to be completed and then sent to the Administrator for review. However, the petitioner is not required to use the form, and may submit a petition in a different format, provided it contains all of the data elements requested on the form.

1. Respondent Universe and Sampling Methods

Sampling will not be used to collect eligibility data in the Program. Information provided in the petition is based on information unique to each petitioner and each petitioned health condition.

2. Procedures for the Collection of Information

Statistical methods will not be used to collect information about the petitioned health condition. Information provided in the petition is based on information unique to each petitioner and each petitioned health condition.

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

Statistical methods will not be used to collect information about the petitioned health condition. Information provided in the petition is based on information unique to each petitioner and each petitioned health condition.

4. Tests of Procedures or Methods to be Undertaken

Statistical methods will not be used to collect information about the petitioned health condition. Information provided in the petition is based on information unique to each petitioner and each petitioned health condition.

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

Statistical methods will not be used to collect information about the petitioned health condition. Information provided in the petition is based on information unique to each petitioner and each petitioned health condition.