View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0923-0044
ICR Reference No:
201203-0923-001
Status:
Historical Inactive
Previous ICR Reference No:
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
Title:
Biomonitoring of Great Lakes Populations Program
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn
Conclusion Date:
09/26/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/07/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
24 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The FY 2010-14 Great Lakes Restoration Initiative (GLRI) was established to protect, restore, and maintain the Great Lakes ecosystem by a task force of 16 federal agencies led by the EPA and over $750,000 was appropriated. ATSDR's Great Lakes Biomonitoring Program provides assessment of human exposure to contaminants concurrent with GLRI activities. ATSDR awarded fund to 3 state health departments to study exposures in their jurisdictions.
Authorizing Statute(s):
US Code:
42 USC 9604
Name of Law: CERCLA
US Code:
42 USC 9626
Name of Law: Superfund Amendments and Reauthorization Act of 1986
PL:
Pub.L. 111 - 88 1
Name of Law: Dept. of Interior, Environment, and Related Agencies Appropriations Act of 2010
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 68462
11/04/2011
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 12594
03/01/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
21
IC Title
Form No.
Form Name
Michigan Biomonitoring Questionnaire
none
Michigan Biomonitoring Questionnaire
Michigan Consent
none
Michigan Consent
Michigan Scheduling Questionnaire
none
Michigan Scheduling Questionnaire
Michigan Screener
none
Michigan screening questionnaire
Minnesota Clinic Visit
none
Minnesota Clinic Visit
Minnesota Consent
none
Minnesota Consent
Minnesota Contact Information
none
Minnesota Contact Information
Minnesota Participant Questionnaire
none
Minnesota Participant Questionnaire
Minnesota Participation Record
none
Minnesota Participation Record
Minnesota Recruitment Script
none
Minnesota Recruitment Script
Minnesota Refusal Questions
none
Minnesota Refusal Questions
NY Burmese Consent
none
NY Burmese Consent
NY Burmese Network Questions
none
NY Burmese Network Questions
NY Burmese Questionnaire
none
NY Burmese Questionnaire
NY Burmese Screener
none
New York Burmese Screener
New York Consent
none
New York Consent
New York Mail-in Screener
none
New York Mail-in Screener
New York Non-responder Script
none
New York Non-responder Script
New York On-line Screener
none
New York On-line Screener
New York Questionnaire
none
New York Questionnaire
New York Responder Script
none
New York Responder Script
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new ICR.
Annual Cost to Federal Government:
$3,800,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Tony Richardson 404 639-4965 lmr7@cdc.gov
Common Form ICR:
No
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
03/07/2012
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