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View ICR - OIRA Conclusion

OMB Control No: 0920-0931	ICR Reference No: 201805-0920-004
Status: Historical Active	Previous ICR Reference No: 201502-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0931
Title: Blood Lead Surveillance System (BLSS)
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: 05/15/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/15/2018
Terms of Clearance: Within two months of the approval of this ICR, CDC will submit a non-substantive change request confirming updates to the public-facing website reflecting the new language as indicated in the supplementary document associated with this package. Approved consistent with CDC’s commitment to always communicate that these data do not provide for nationally representative prevalence estimates, due to the fact that not all states participate in CBLS and ABLS, as well as differences in jurisdictional screening practices and laboratory reporting requirements among state and local jurisdictions. However, use of the consistent case definition allows for estimating needs at the Federal, state, and local level which is important for establishing national program goals and objectives. In addition, CDC commits to working with CMS to better capture Medicaid-required test results and decrease duplicative requirements on States.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	05/31/2018
Responses	409	0	160
Time Burden (Hours)	1,226	0	640
Cost Burden (Dollars)	0	0	15,000

Abstract: The Healthy Homes Lead Poisoning Surveillance System (HHLPSS) builds upon previous efforts by the National Blood Lead Surveillance System (NBLSS) to characterize the home environment in terms of not only lead poisoning risk factors, but also other home-based risk factors. This Revision of 0920-0931 is requested to re-focus the scope of the joint NCEH and NIOSH program collections on blood lead surveillance. This joint ICR includes two data collection systems that provide a coordinated, comprehensive, and systematic public health approach to the surveillance and monitoring of blood lead levels (BLLs) for children < 16 years old and occupationally-exposed adults ≥ 16 years old in the U.S. Revisions to the previously OMB-approved version of 0920-0931 include the following: 1. We request to change the title of the ICR from ‘Healthy Homes and Lead Poisoning Surveillance System (HHLPSS)’ to ‘Blood Lead Surveillance System (BLSS)’ to more explicitly reflect the information collected by the NCEH Childhood Blood Lead Surveillance (CBLS) and the NIOSH Adult Blood Lead Epidemiology and Surveillance (ABLES) Systems. 2. We request to remove the NCEH ‘healthy homes’ variables from the existing HHLPSS ICR, as this data has never been collected at the national level, and to replace the HHLPSS variable list with the updated CBLS variable list. 3. We request to add specific ABLES data fields to the Healthy Homes and Lead Poisoning Software System (HHLPSS) that is used by many state and local agencies to collect and manage blood lead surveillance data. 4. We request to add 20 new CBLS respondents, over the 40 that were previously approved, due to the addition of newly-funded programs in FY17 and FY18. 5. We request to add 12 new ABLES respondents, over the 28 that were previously approved, due to the additional interest expressed by states for voluntary reporting. 6. We request to increase the annual time burden from 640 hours to 1,226 hours to account mainly for the increase in the number of respondents and for additional adjustments to the estimation. This is an increase of 586 annual burden hours. 7. We are working to integrate the information technology (IT) systems Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES).

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	409	160	249
Annual Time Burden (Hours)	1,226	640	586
Annual Cost Burden (Dollars)	0	15,000	-15,000

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: Cutting Redundancy

Short Statement: Revision of 0920-0931 serves to combine efforts from NCEH and NIOSH into the ICR Blood Lead Level Surveillance. It results in an increase in 586 Burden Hours

Annual Cost to Federal Government: $7,780,833

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. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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