View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 0920-1215	ICR Reference No: 202604-0920-004
Status: Received in OIRA	Previous ICR Reference No: 202303-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0186
Title: [NCEH] Awardee Lead Profile Assessment (ALPA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/05/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	75	75
Time Burden (Hours)	66	59
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	75	75	0
Annual Time Burden (Hours)	66	59	7
Annual Cost Burden (Dollars)	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 time estimate per response increased slightly based on a more recent pilot test.

Annual Cost to Federal Government: $1,741,204

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: Kevin Joyce 404 639-1944 kdj7@cdc.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.