ATSDR Exposure Investigations (EIs)

Forms and Documents

Document Name	Status
Form 1 Colorado Smelter Exposure Investigation Form and Instruction	New
1-EI SupStB 20130430.docx Supporting Statement B	2013-05-01
Att3 Chem Exp Question Bank 20130430.doc Supplementary Document	2013-05-01
Att2 60-day FRN 20130426.pdf Supplementary Document	2013-04-30
Att4 EI Map 20130426.pdf Supplementary Document	2013-04-30
Att1 AuthLegsl 20130426.docx Supplementary Document	2013-04-30
1-EI SupStA 20130430.docx Supporting Statement A	2013-05-08

IC Document Collections

IC ID	Document Title	Status
208122	Colorado Smelter Exposure Investigation Form and Instruction	New

ICR Details

OMB Control No: 0923-0048	ICR Reference No: 201305-0923-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/TSDR	Agency Tracking No: 19421
Title: ATSDR Exposure Investigations (EIs)
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 without change	Conclusion Date: 05/30/2013
	Date Received in OIRA: 05/08/2013
Terms of Clearance: We encourage ATSDR to continue working with OMB on a standardized template to facilitate review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	600	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a new information collection request (ICR) titled the ATSDR Exposure Investigations (EI). The ATSDR requests approval for a three-year "generic" clearance to allow the Agency to carry out its public health activities in a more timely and efficient manner than under previously approved National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR) Exposure Investigations (EI), OMB Control Number (OCN) 0923-0040. ATSDR is authorized to conduct EIs under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), commonly known as the "Superfund" Act, as amended by the Superfund Amendments and Reauthorization Act (SARA) of 1986 (Attachment 1).

---

Authorizing Statute(s): US Code: 42 USC 9604 Name of Law: CERCLA of 1980 and Superfund Amendments and Reauthorization Act of 1986
  

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:
	77 FR 19016	03/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 20920	04/08/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Colorado Smelter Exposure Investigation	1	Questionnaire for Colorado Smelter EI

---

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	1,200	0	0	1,200	0	0
Annual Time Burden (Hours)	600	0	0	600	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 new Generic Clearance.

---

Annual Cost to Federal Government: $960,000

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

---

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: 05/08/2013

---