Assessment of Occupational Exposure Management

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Assessment of Occupational Exposure Management	Form and Instruction	New	Available
CDC Exposure Memo.doc	Supplementary Document	Uploaded 2007-10-30	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2007-04-30	Available
Attachment J. 60-day Federal Register Notice.pdf	Supplementary Document	Uploaded 2007-05-02	Repair queued
Attachment A. 42 USC 241.pdf	Supplementary Document	Uploaded 2007-05-02	Available
Attachment L. NRC Survey Process.pdf	Supplementary Document	Uploaded 2007-04-30	Available
Attachment K. Exposure survey human subjects letter 1206.doc	Supplementary Document	Uploaded 2007-04-30	Available
Supporting Statement A.doc	Supporting Statement A	Uploaded 2007-05-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180121	Assessment of Occupational Exposure Management	Form and Instruction	New

ICR Details

OMB Control No: 0920-0757	ICR Reference No: 200705-0920-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Assessment of Occupational Exposure Management
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: 11/02/2007
	Date Received in OIRA: 05/11/2007
Terms of Clearance: Approved consistent with CDC memo submitted to OMB and included in the public docket.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2008	12 Months From Approved
Responses	5,320	0	0
Time Burden (Hours)	1,773	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC has undertaken the task of conducting a survey to assess occupational exposure management programs in a sample of different types of healthcare settings: acute-care facilties, ambulatory surgery centers, chronic hemodialysis centers, and long-term care facilities. The survey is intended to assess general policies on managing exposures, surveillance and reporting of occupational exposures, laboratory diagnostic capacity, staffing of occupational health services, staff training about occupational bloodborne exposure management and prevention, and provision of counseling for exposed workers in these healthcare settings. Ultimately, the survey is intended to asess the extent that occupational exposures management policies and practices are consistent with national guidelines. The results of this survey may inform updates of guidelines on management of occupational exposures to bloodborne viruses. The survey methodology consists of a pre-notification letter inviting the facility contact person to participate in the survey (Attachment D); a mailed questionniare (Attachments E-H) and cover letter (Attachment I); and a subsequent mailed questinonaire (Attachments E-H) and cover letter (Attachment J) for those who do not respond within 2 weeks to the first mailing. In the cover letters (Attachments I and J), the recipient is given the option to complete the questionnaire (Attachments E-H) on the Web. The letter provides a URL to a secured site and a personal password to use in accessing the electronic version of the questionnaire/survey. A postage-paid business return envelope is enclosed for recipients who choose to complete the hardcopy of the questionnaire.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

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:
	71 FR 37939	07/03/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 20343	04/24/2007
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Assessment of Occupational Exposure Management	None, None, None, None	Ambulatory Care Facilities ,   Long-term Care Facilities ,   Acute Care Facilities ,   Dialysis Centers

---

ICR Summary of Burden

table that charts list 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	5,320	0	0	5,320	0	0
Annual Time Burden (Hours)	1,773	0	0	1,773	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: New data collection requested to be able to assess the extent to which healthcare facilities adhere to recommendations on management of occupational exposures to blood and body fluids.

---

Annual Cost to Federal Government: $161,255

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? 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: 05/11/2007

---