View Information Collection Request (ICR) Package
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Burden
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Certification
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:
0923-0055
ICR Reference No:
201612-0923-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
0923-16BEH
Title:
ATSDR Communication Activities Survey (ACAS)
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:
Approved with change
Conclusion Date:
06/19/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/05/2017
Terms of Clearance:
Given the design of this ICR, it is not appropriate to use for GPRA or any other program evaluation metrics, and any use in this manner will prohibit the ICR from being renewed. The results, as indicated in the supporting statement, will only be used by ATSDR to standardize and ensure consistent delivery of ATSDR activities, improve implementation of activities, and help ATSDR and communities understand and improve ATSDR activities.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2020
36 Months From Approved
Responses
334
0
0
Time Burden (Hours)
49
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The ACAS will be used to ascertain the effectiveness, and to evaluate the differences and consistency, of ATSDR activity delivery and respondent perceptions across sites and over time; determine how effectively ATSDR's site team engages community members; and discover how well ATSDR provides effective, clear and consistent communication and information on how to promote healthy and safe environments and prevent harmful exposures through the activities they implement in communities.
Authorizing Statute(s):
PL:
Pub.L. 107 - 377 101
Name of Law: Comprehensive Environmental Response, Compensation and Liability Act (CERCLA)
PL:
Pub.L. 107 - 377 1001
Name of Law: Solid Waste Disposal Act
PL:
Pub.L. 107 - 377 118
Name of Law: Superfund Amendments and Reauthorization Act (SARA)
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:
81 FR 66024
09/26/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 95998
12/29/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Agency Stakeholders - ACAS Hard Copy
NA
ATSDR Community Activities Survey - Hardcopy
Agency Stakeholders - ACAS Online
NA
ATSDR Community Activities Survey - Online
Agency Stakeholders - ACAS Sign-In Sheet
NA
ATSDR Public Meeting Sign-In Sheet
Agency Stakeholders - ACAS Telephone
NA
ATSDR Community Activities Survey - Telephone
Community Members - ACAS Hard Copy
NA, NA
ATSDR Community Activities Survey - Hardcopy
Community Members - ACAS Online
NA
ATSDR Community Activities Survey - Online
Community Members - ACAS Telephone
NA
ATSDR Community Activities Survey - Telephone
Community Members - Sign-In Sheet
NA
ATSDR Public Meeting Sign-In Sheet
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
334
0
0
334
0
0
Annual Time Burden (Hours)
49
0
0
49
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
Submission of 0923-16BEH is a New ICR.
Annual Cost to Federal Government:
$155,167
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:
01/05/2017
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