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:
0923-0056
ICR Reference No:
201801-0923-002
Status:
Historical Active
Previous ICR Reference No:
201710-0923-001
Agency/Subagency:
HHS/TSDR
Agency Tracking No:
0923-0056-18KX
Title:
Biomonitoring of Great Lakes Populations Program III
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:
01/25/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/17/2018
Terms of Clearance:
Previous terms continue: Approved consistent with the understanding that the core program objective is to provide a current ‘snap shot’ of human exposure levels among susceptible subpopulations living around the Milwaukee AOC. This surveillance project will not investigate health outcomes or biological effects from such exposures. The biomonitoring results will not be generalized beyond the selected AOC and the defined subpopulations under study. The design does not support the ability to draw conclusions about the statistical significance of differences between either the populations being studies or with data from nationally representative populations (e.g., NHANES), as the underlying assumptions in all of these samples are very different.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2020
07/31/2020
07/31/2020
Responses
749
0
731
Time Burden (Hours)
229
0
227
Cost Burden (Dollars)
0
0
0
Abstract:
The goal of the Biomonitoring of Great Lakes Populations Program III (0923-0056) is to evaluate body burden levels of legacy contaminants and chemicals of emerging concern in susceptible Great Lakes populations in Milwaukee and the surrounding southeastern area of Wisconsin. Findings from the biomonitoring study will be used to inform participants and other community stakeholders about ways to maximize benefits and minimize risks while consuming locally caught fish in the Great Lakes basin and guide public health action to protect Great Lakes populations from potential exposure to harmful chemicals. The purpose of this Non-Substantive Change Request is to expand the recruitment boundary of the waterbodies due to recruitment challenges experienced by the Wisconsin DHS, These changes result in small changes to a number of Information Collection Instruments and a slight increase in Burden Hours, however the overall scope and direction of the package has not changed.
Authorizing Statute(s):
US Code:
42 USC 9604
Name of Law: CERCLA / 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:
82 FR 124
01/03/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 16832
04/06/2017
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
13
IC Title
Form No.
Form Name
Clinic Visit Checklist and Body Measurements - Licensed Anglers
NA
Clinic Visit Checklist and Body Measurements - Licensed Anglers
Clinic Visit and Body Measurements - Burmese Immigrants and Descendants
0923-0056
Clinic Visit Checklist and Body Measurements - Burmese Immigrants and their Descendants
Contact Information Form - Burmese Immigrants and Descendants
NA
Contact Information Form for Burmese Immigrants and their Descendants
Eligibility Screening Survey - Burmese Immigrants and Descendants
0923-0056
Eligibility Screening Survey for Burmese Immigrants and their Descendants - 16JAN2018
Eligibility Screening Survey - Licensed Anglers - Paper
0923-0056
Eligibility Screening Survey for Licensed Anglers (Paper) 16JAN2018
Eligibility Screening Survey - Licensed Anglers - Screenshots
0923-0056
Eligibility Screening Survey for Licensed Anglers (Screenshot) - 16JAN2018
Follow-Up Survey - Burmese Immigrants and Descendants
NA
Follow-Up Survey - Burmese Immigrants and their Descendants
Follow-Up Survey - Licensed Anglers
NA
Follow-Up Survey for Licensed Anglers
Network Size Questions - Burmese Immigrants and Descendants
NA
Network Size Questions for Respondent-driven Sampling - Burmese Immigrants and their Descendants
Study Questionnaire - Burmese Immigrants and Descendants
0923-0056
Study Questionnaire - Burmese Immigrants and their Descendants - 16JAN2018
Study Questionnaire - Licensed Anglers - Paper
0923-0056
Study Questionnaire for Licensed Anglers (Paper) - 16JAN2018
Study Questionnaire - Licensed Anglers - Screenshot
0923-0056
Study Questionnaire for Licensed Anglers (Screenshot) - 16JAN2018
Updated Questions on Fish Consumption - Licensed Anglers
0923-0056
Updated Fish Consumption Survey - FISH EATEN IN THE LAST 12 MONTHS
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
749
731
0
18
0
0
Annual Time Burden (Hours)
229
227
0
2
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:
Non-Substantive Change to OMB-approved Biomonitoring of Great Lakes Populations Program III (0923-0056) includes changes to expand the recruitment boundary of the study and addition of updated questions to survey.
Annual Cost to Federal Government:
$633,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
01/17/2018
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