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 Generic ICR - OIRA Conclusion
OMB Control No:
0923-0048
ICR Reference No:
201512-0923-001
Status:
Historical Active
Previous ICR Reference No:
201401-0923-001
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
21339
Title:
ATSDR Exposure Investigations (EIs)
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/25/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/18/2015
Terms of Clearance:
Previous terms of clearance apply.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2019
36 Months From Approved
05/31/2016
Responses
3,600
0
3,600
Time Burden (Hours)
1,800
0
1,800
Cost Burden (Dollars)
0
0
0
Abstract:
This is a request for a three-year extension of a generic clearance information collection request (ICR) titled the ATSDR Exposure Investigations (EI) (OMB 0923-0048, expiration date 5/31/2016) to continue to allow the Agency to carry out its public health activities in a timely and efficient manner. When adequate environmental or exposure information to assess human exposures and possible related health effects do not exist, however, ATSDR will perform an EI.
Authorizing Statute(s):
US Code:
42 USC 9604
Name of Law: CERCLA of 1980 and Superfund Amendments and Reauthorization Act of 1986
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:
80 FR 58735
09/30/2015
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 78234
12/16/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Blood Lead and Urine Arsenic Levels in Anaconda, MT - Exposure Investigation
0923-0048
Anaconda MT Exposure Investigation Questionnaire
Blood Lead and Urine Arsenic Levels in Anaconda, MT - Exposure Investigation: Anaconda EI II
0923-0048
Anaconda MT Exposure Investigation II - Participant Questionnaire and Sample Collection
Drinking Water Exposure Investigation - Dimock, PA
none
Dimock Water Exposure Investigation
Exposure Investigation - Blood Lead Levels in Iola, Kansas
NA
Iola KS Exposure Investigation Questionnaire
Follow Up Biologic Testing for Exposure to Arsenic ASARCO Hayden Smelter Site, Hayden & Winkelman, Arizona Exposure Investigation
NA
Hayden, Arizona Smelter Exposure Investigation Questionaire
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
3,600
3,600
0
0
0
0
Annual Time Burden (Hours)
1,800
1,800
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$960,000
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:
Catina Conner 4046394775
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:
12/18/2015
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