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 Generic ICR - OIRA Conclusion
OMB Control No:
0923-0051
ICR Reference No:
201607-0923-002
Status:
Historical Active
Previous ICR Reference No:
201509-0923-002
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
16AVA
Title:
Assessment of Chemical Exposures (ACE) Investigations - FY2016 Q2 Burden Report
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/21/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/21/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2018
03/31/2018
03/31/2018
Responses
3,870
0
3,870
Time Burden (Hours)
1,773
0
1,773
Cost Burden (Dollars)
0
0
0
Abstract:
Supporting effective epidemiologic investigations is an important way that ATSDR serves to protect the health of the public. In order for an ACE investigation to occur, the following criteria must be met: 1) ACE investigations will be undertaken at the request of, and in collaboration with, the state, regional, local, or tribal health department (the requesting agency) where the release occurred. 2) ACE investigations will be carried out in the event of an acute chemical release of toxic substances. 3) ACE investigations will be non research public health responses that are designed to prevent or control disease or injury and improve public health 4) ACE investigations will be restricted to domestic incidents. 5) ACE investigations will be completed within 180 days after OMB approval. ATSDR seeks approval for this Generic ICR to ensure that the agency is poised to mobilize quickly when urgent epidemiologic support is requested by our partners. Therefore, ATSDR requests 72-hour approval, or more quickly if needed.
Authorizing Statute(s):
US Code:
42 USC 9626
Name of Law: Superfund Amendments and Reauthorization Act of 1986
US Code:
42 USC 241
Name of Law: Public Health Service Act
US Code:
42 USC 9604
Name of Law: Comprehensive Environmental Response, Compensation and Liability Act of 1980
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:
79 FR 30146
05/27/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 57108
09/24/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Flint Rash Investigation
NA
Follow-Up Flint Rash Dermatology Report Form
Flint Rash Investigation
none, none
Self-reported Rash Symptoms and Exposure - MDHHS Questionnaire
,
Flint Medical Chart Abstraction
Methyl Bromide Release at a Condominium Resort - U.S. Virgin Islands
None, NA
ACE Adult/Child/Pet Survey
,
ACE General Survey Methyl Bromide FINAL
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
3,870
3,870
0
0
0
0
Annual Time Burden (Hours)
1,773
1,773
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:
Submission is a NEW Generic IC.
Annual Cost to Federal Government:
$41,196
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?
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
07/21/2016
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