View Information Collection Request (ICR) Package
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View ICR - Agency Submission
COMMENT
Time Remaining
Days
HR
Min
Sec
OMB Control No:
0920-1175
ICR Reference No:
202607-0920-013
Status:
Received in OIRA
Previous ICR Reference No:
202503-0920-007
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
[NCEH] Environmental Public Health Tracking Network (Tracking Network)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
08/18/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
08/31/2026
Responses
522
635
Time Burden (Hours)
12,349
14,384
Cost Burden (Dollars)
0
0
Abstract:
CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This Revision is submitted to request approval for a small increase in the number of annual respondents to include 10 radon labs, a decrease in total responses per year, and adjustments to a select number of instruments. There is a net decrease in estimated annual burden hours.
Authorizing Statute(s):
US Code:
42 USC 247
Name of Law: Public Health Service Act
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:
91 FR 21292
04/21/2026
30-day Notice:
Federal Register Citation:
Citation Date:
91 FR 50843
08/06/2026
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
14
IC Title
Form No.
Form Name
Biomonitoring Form
0920-1175
Data Dictionary- State Biomonitoring Data
Birth Defects Prevelance Form
0920-1175
Data Dictionary -- Birth Defects 03AUG2026
Communication Plan Template
0920-1175
Outreach & Communication Plan Template with Instructions
Drinking Water Monitoring Form
0920-1175
Data Dictionary – Drinking Water 03AUG2026
Emergency Department (ED) Visits Form
0920-1175
Data Dictionary - Emergency Department (ED) Visits 03AUG2026
Environment Public Health Tracking -- Childhood Blood Lead Poisoning
0920-1175
Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING
Environmental Public Health Tracking Work Plan - REDCap
0920-1175
Work Plan Template - Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance 03AUG2026
Hospitalizations Form
0920-1175
Data Dictionary- Hospitalizations 03AUG2026
Metadata Records
0920-1175
Metadata Sample Content 03AUG2026
PHA Impact Follow Up - RedCap
0920-1175
PHA Impact Follow-up 03AUG2026
Performance Measures Report – REDCap
0920-1175
Performance Measurses Annual 03AUG2026
Program Accomplishments and Public Health Actions Report – REDCap
0920-1175
Program Accomplishments & Public Health Actions 03AUG2026
Radon Testing Form (combned)
0920-1175
Data Dictionary - Radon 03AUG2026
Radon Testing Labs - Radon Testing Form (combined)
0920-1175
Data Dictionary – Radon 03AUG2026
Web Statistics Template
0920-1175
Standardized Web Statistics - Codebook 03AUG2026
ICR Summary of Burden
Total Request
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
522
635
0
-113
0
0
Annual Time Burden (Hours)
12,349
14,384
0
-2,035
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Revision of 0920-1175 is submitted to request approval for a small increase in the number of annual respondents to include 10 radon labs, a decrease in total responses per year, and adjustments to a select number of instruments. There is a net decrease in estimated annual burden hours.
Annual Cost to Federal Government:
$22,992,312
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:
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:
08/18/2026
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