View Information Collection Request (ICR) Package
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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:
1910-5112
ICR Reference No:
201212-1910-002
Status:
Historical Active
Previous ICR Reference No:
200909-1910-001
Agency/Subagency:
DOE/DOEOA
Agency Tracking No:
Felecia Briggs
Title:
Chronic Beryllium Disease Prevention Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/16/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/27/2012
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is approved for three years.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2017
36 Months From Approved
06/30/2014
Responses
15,881
0
29,693
Time Burden (Hours)
25,036
0
25,024
Cost Burden (Dollars)
1,293,623
0
1,227,720
Abstract:
DOE and DOE contractors will use this information collecton to manage chronic beryllium disease prevention programs, provide information to employees, and facilitate DOE ovesight of the programs.
Authorizing Statute(s):
US Code:
42 USC 7191 and 7524
Name of Law: Department of Energy Organization Act
US Code:
42 USC 2201
Name of Law: Atomic Energy Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1901-AA99
Final or interim final rulemaking
71 FR 27
02/09/2006
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 55197
09/07/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 69613
11/20/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Annual Performance Feedback
Annual Recordkeeping
Annual Revisions to CBDPP Plans
Maintain Beryllium Registry
Signed Consent Forms for Medical Exams
DOE F 440-1
Chronic Beryllium Disease Prevention Program Informed Consent
Worker Notification of Monitoring Results
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
15,881
29,693
0
-13,812
0
0
Annual Time Burden (Hours)
25,036
25,024
0
12
0
0
Annual Cost Burden (Dollars)
1,293,623
1,227,720
0
65,903
0
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This ICR submission is for re-approval of an existing ICR and DOE expects all initial requirements to have been completed. Thus, only annual recurring costs have been included in this ICR.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
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:
Christina Rouleau 301 903-6227 Christina.Rouleau@hq.doe.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:
12/27/2012
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