Airborne Hazards and Open Burn Pit Registry (AHOBPR) Web-accessible Self-Assessment/Questionnaire (VA Form 10-10066)

ICR 201903-2900-001

OMB: 2900-0800

Federal Form Document

ICR Details
2900-0800 201903-2900-001
Received in OIRA 201401-2900-002
VA 2900-0800
Airborne Hazards and Open Burn Pit Registry (AHOBPR) Web-accessible Self-Assessment/Questionnaire (VA Form 10-10066)
Reinstatement with change of a previously approved collection   No
Regular 08/13/2019
  Requested Previously Approved
36 Months From Approved 03/31/2017
50,686 50,000
33,447 33,333
0 0

Public Law 112-260 Section 201, enacted by President Obama on 10 January 2013, required Department of Veterans Affairs (VA) to establish and maintain an “Airborne Hazards and Open Burn Pit Registry (AHOBPR)” no later than one year from enactment. VA launched the AHOBPR in June 2014. There is no sunset date identified in the law. The Secretary of Veterans Affairs may “include any information in such registry that the Secretary of Veterans Affairs determines necessary to ascertain and monitor the health effects of the exposure of members of the Armed Forces to toxic airborne chemicals and fumes caused by open burn pits.” Currently, VA plans to operate the AHOBPR indefinitely, and we request approval to continue administering the questionnaire. Qarmat Ali: This program is a new request for a follow-up information collection for a subset of Veterans impacted by a specific airborne hazard. In the spring and summer of 2003, approximately 700 U.S. Servicemembers may have been impacted by a specific airborne hazard while serving at a water injection plant in Qarmat Ali (QA), Iraq. The Department of Defense (DoD) was unable to determine specific exposure levels near the water treatment facility. In 2010, in response to DoD’s notification, the VA offered no-cost medical evaluations and encouraged the cohort to enroll in a new Qarmat Ali medical surveillance program within the Gulf War Registry. The QA cohort is also eligible to participate in the AHOBPR program due to their deployment to Iraq. As part of the planned 5-year periodic medical follow-up and surveillance program, self-reported information will be collected through the AHOBPR as outlined above. Additional information on the Qarmat Ali water treatment facility can be found at the following link at: https://phc.amedd.army.mil/PHC%20Resource%20Library/QarmatAliWTPChromiumAssessmentMay2010.pdf. Information collected is voluntary and is used to provide outreach and quality health services to AHOBPR participants. Collected data contributes to VA’s ability to understand the potential health effects of the exposure to burn pit emissions and other airborne hazards during deployment, such as particulate matter.

PL: Pub.L. 112 - 260 201 Name of Law: Establishment of Open Burn Pit Registry
  
None

Not associated with rulemaking

  84 FR 19829 05/06/2019
84 FR 35930 07/25/2019
No

  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 50,686 50,000 0 50,686 -50,000 0
Annual Time Burden (Hours) 33,447 33,333 0 33,447 -33,333 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
An additional cost burden of ten minutes, per respondent, is added for the approximately 686 Veterans included in the Qarmat Ali Cohort. All registrants included with this subset cohort also are eligible for the AHOBPR.

$1,100,000
No
    Yes
    Yes
No
No
No
No
Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/13/2019


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