View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0923-0063	ICR Reference No: 202010-0923-002
Status: Historical Active	Previous ICR Reference No: 202007-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-0063-21AE
Title: Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study
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 with change	Conclusion Date: 11/10/2020
	Date Received in OIRA: 10/28/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2023	05/31/2023	05/31/2023
Responses	35,121	0	35,121
Time Burden (Hours)	8,149	0	8,149
Cost Burden (Dollars)	233,544	0	233,544

Annual Cost to Federal Government: $7,379,582

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]? 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: Shari Steinberg 404 639-4942 shari.steinberg@cdc.hhs.gov

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