Chronic Beryllium Disease Prevention Program

Forms and Documents

Document Name	Status
SupportStatement.06.pdf Supporting Statement A	2006-12-13

IC Document Collections

IC ID	Document Title	Status
45148	Maintain Beryllium Registry	New
45145	Annual Performance Feedback	New
45142	Annual Recordkeeping	New
45140	Signed Consent Forms for Medical Exams Instruction	New
45139	Worker Notification of Monitoring Results	New
23435	Annual Revisions to CBDPP Plans	Modified

ICR Details

OMB Control No: 1910-5112	ICR Reference No: 200609-1910-002
Status: Historical Active	Previous ICR Reference No: 200306-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No:
Title: Chronic Beryllium Disease Prevention Program
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: 12/14/2006
	Date Received in OIRA: 09/15/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	12/31/2006
Responses	32,739	0	30,876
Time Burden (Hours)	30,083	0	32,952
Cost Burden (Dollars)	1,335,468	0	0

---

Abstract: DOE and DOE contractors will use this information collecton to manage chronic beryllium disease prevention programs, provide information to employees, and facilitate DOE ovesight of the programs.

---

Authorizing Statute(s): US Code: 42 USC 2201 Name of Law: Atomic Energy Act
   US Code: 42 USC 7191 and 7524 Name of Law: Department of Energy Organization Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1901-AA99	Final or interim final rulemaking	71 FR 27	02/09/2006

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 59	03/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 164	08/24/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Signed Consent Forms for Medical Exams
Annual Recordkeeping
Annual Performance Feedback
Annual Revisions to CBDPP Plans
Worker Notification of Monitoring Results
Maintain Beryllium Registry

---

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	32,739	30,876	0	0	1,863	0
Annual Time Burden (Hours)	30,083	32,952	0	0	-2,869	0
Annual Cost Burden (Dollars)	1,335,468	0	0	0	1,335,468	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of total annual responses requested for the extension of this collection increased due to a revised estimate of the number of sites included in this program. Originally, when the final rule 10 CFR Part 850, Chronic Beryllium Disease Prevention Program was published, DOE listed 30,876 responses. This was the number based on those who responded to the initial call for the Chronic Beryllium Prevention Program, however since that date several other sites included under this rule have necessitated the implementation of the program as well. Though the number of responses is estimated to increase, the total amount of burden hours is expected to decrease as a result of previous overestimations in time and cost.

---

Annual Cost to Federal Government: $1,335,468

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 09/15/2006

---