Registration of Individuals Displaced by Hurricanes Katrina and Rita (Pilot Project)

Forms and Documents

Document Name	Status
Katrina and Rita Exposures Registry - questionnaire Form and Instruction	Modified
Screener Form and Instruction	Modified
Supporting Statement B Katrina Registry 20130122.doc Supporting Statement B	2013-02-06
Appendix O Propose Billboards 20121101.pdf Supplementary Document	2012-11-14
Appendix N KARE Brochure 20130204.pdf Supplementary Document	2013-02-06
Appendix M Reminder_Postcard 20130125.doc Supplementary Document	2013-02-06
Appendix L Outreach_Website_Contents_FAQs 2130130.docx Supplementary Document	2013-02-06
Appendix K Outreach Plan Outline 20121101.docx Supplementary Document	2012-11-14
Appendix J Power Calculations 20121101.doc Supplementary Document	2012-11-14
Appendix I Sampling Plan 20121101.docx Supplementary Document	2012-11-14
Appendix G IRB Approval Letter 20120905.docx Supplementary Document	2012-11-14
Appendix D Letter of Intro 20121101.docx Supplementary Document	2012-11-14
Appendix C Access Controls 20121101.doc Supplementary Document	2012-11-14
Appendix A Authorizing Legislation 20121101.doc Supplementary Document	2012-11-14
Appendix B 60-day FRN 20090413.pdf Supplementary Document	2012-11-14
Supporting Statement A Katrina Registry 20130204.docx Supporting Statement A	2013-02-06

IC Document Collections

IC ID	Document Title	Status
201175	Katrina and Rita Exposures Registry - questionnaire Form and Instruction	Modified
201174	Screener Form and Instruction	Modified

ICR Details

OMB Control No: 0923-0045	ICR Reference No: 201211-0923-001
Status: Historical Active	Previous ICR Reference No: 201202-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No:
Title: Registration of Individuals Displaced by Hurricanes Katrina and Rita (Pilot Project)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/08/2013
	Date Received in OIRA: 11/20/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	24 Months From Approved
Responses	4,000	0	0
Time Burden (Hours)	533	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In 2005, Hurricanes Katrina and Rita struck the Gulf Coast. In the aftermath, an estimated 375,000 persons occupied temporary housing units supplied by FEMA. Persons living in these units may have been exposed to high levels of formaldehyde. We propose to develop a pilot registry called the Katrina and Rita Exposure (KARE) Registry that will serve as a starting point to see if a full registry is feasible due to the time that has passed between the hurricanes and data collection (7 years). This pilot registry will consist of people who occupied FEMA supplied temporary housing after Hurricanes Katrina and Rita. CATI technology will be used to collect the data.

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Authorizing Statute(s): US Code: 42 USC 9604 Name of Law: CERCLA
   US Code: 42 USC 9626 Name of Law: SARA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 16874	04/13/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 6801	02/02/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Screener	none, none	Screener
Katrina and Rita Exposures Registry - questionnaire	none	Quesitonaire

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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	4,000	0	0	4,000	0	0
Annual Time Burden (Hours)	533	0	0	533	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: No

Burden Reduction Due to:

Short Statement: This is a resubmission of a new ICR. OMB waived republication of the FRNs.

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Annual Cost to Federal Government: $1,903,980

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 11/20/2012

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