Justification for Non-Substantive Change

Justification for NonSub Change 1405-0250.docx

Eligibility Questionnaire for HAVANA Act Payments

Justification for Non-Substantive Change

OMB: 1405-0250

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Justification for Non-Substantive Change

Change in Coverage Date on DS-4316

OMB Control No. 1405-0250





Justification: Section 5604 of the FY 2026 National Defense Authorization Act (P.L. 119-60), made the following change in the coverage for the HAVANA Act of 2021: striking “January 1, 2016” and replacing it with “September 11, 2001”, wherever it appears.

Accordingly, the Department requests that its DS-4316, Eligibility Questionnaire for HAVANA Act Payments, be revised as follows:

By changing Question 4, from “Did the injury occur on or after January 1, 2016?” to “Did the injury occur on or after September 11, 2001?”





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKottmyer, Alice M
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File Created2026-01-08

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