Assessment of Potential Exposure from Private Wells for Drinking Water

ICR 202003-0920-005

OMB: 0920-1173

Federal Form Document

Forms and Documents
ICR Details
0920-1173 202003-0920-005
Active 201606-0920-005
HHS/CDC 0920-1173
Assessment of Potential Exposure from Private Wells for Drinking Water
Extension without change of a currently approved collection   No
Regular
Approved with change 01/04/2021
Retrieve Notice of Action (NOA) 03/23/2020
Approved consistent with the understanding that collections submitted under this generic are not considered research and will not include epidemiological studies or the collection of health data. Each GenIC will include a full supporting statement Part A and B.
  Inventory as of this Action Requested Previously Approved
01/31/2024 36 Months From Approved 12/31/2020
19,500 0 19,500
6,252 0 6,252
156,175 0 141,987

There is no comprehensive knowledge about the locations of private wells, the populations served by these sources, potential contaminants that might be present in private well water in specific areas of the country, or the potential health risks associated with drinking water from these sources. The goal of this generic clearance information collection request (Generic ICR) is to expedite investigations of private well water for drinking in response to specific investigation requests. Each investigation will assess exposure to contaminants in drinking water from private wells in a geographic area specified by the requesting entity. Requesting entities may be any state, territorial, local, or tribal health department in the United States. Methods to collect data include questionnaires and analysis of clinical specimens and/or environmental samples.

US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 48931 09/17/2019
85 FR 16365 03/23/2020
Yes

0

  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 19,500 19,500 0 0 0 0
Annual Time Burden (Hours) 6,252 6,252 0 0 0 0
Annual Cost Burden (Dollars) 156,175 141,987 0 14,188 0 0
No
No

$469,600
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Shari Steinberg 404 639-4942 sxw2@cdc.gov

  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.
03/23/2020


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