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:
0920-1319
ICR Reference No:
202001-0920-003
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-19DO
Title:
National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level
Type of Information Collection:
Existing collection in use without an OMB Control Number
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/03/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/10/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/29/2024
36 Months From Approved
Responses
83
0
0
Time Burden (Hours)
2,783
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
CDC collects fluoridation level and status of Community Water Systems (CWS) and corresponding population from states to 1) report fluoridation status relative to the USPHS recommended level for oral health among 52,000 CWS and the percentage of population served by CWS with fluoridated water nationally and by locality; 2) support state and local government monitoring of community water fluoridation programs; 3) measure national performance toward the Healthy People objective.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: Public Health Service Act
US Code:
14 USC 247b
Name of Law: ral health promotion and disease prevention
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:
83 FR 62867
12/06/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 59384
11/04/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Email Invite Fluoride Testing data
0920-19DO
Email Invitation for fluoride testing data submission
Instructions to Update the Fluoridation Status and Population Data
0920-19DO
Instructions to Update the Fluoridation Status and Population Data
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
83
0
0
33
0
50
Annual Time Burden (Hours)
2,783
0
0
908
0
1,875
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:
The purpose of this data collection is to assess the fluoridation status of the nation’s approximately 52,000 community water systems (CWS) which serve the 50 states and the District of Columbia. It will also collect fluoride level testing data for those CWS which adjust naturally occurring fluoride levels. Data will be used to inform the public and to support state and local governments’ efforts to monitor community water fluoridation levels relative to the US Public Health Service recommended level. Data will be gathered through a Web-based data management tool called the Water Fluoridation Reporting System. CDC is requesting approval for 2873 burden hours.
Annual Cost to Federal Government:
$528,578
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.
No
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?
No
Agency Contact:
Odion Clunis 770 488-0045 lta2@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:
01/10/2020
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