BioWatch Filter Holder Log

ICR 200808-1601-002

OMB: 1601-0006

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2008-08-19
Supplementary Document
2008-08-19
Supporting Statement A
2008-08-19
Supplementary Document
2008-08-19
Supplementary Document
2008-08-19
IC Document Collections
IC ID
Document
Title
Status
186177 New
ICR Details
1601-0006 200808-1601-002
Historical Active
DHS/OS
BioWatch Filter Holder Log
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/30/2008
Retrieve Notice of Action (NOA) 08/19/2008
  Inventory as of this Action Requested Previously Approved
10/31/2011 36 Months From Approved
190,008 0 0
3,173 0 0
0 0 0

The Department of Homeland Security (DHS), Office of Health Affairs/OCMO Early Detection Division will collect information from BioWatch jurisdictions. The BioWatch Program operates aerosol collector equipment in approximately 30 US jurisdictions to monitor for the presence of organisms that may be related to the deliberate release of a select subset of biological threat agents. Information is collected in writing by a representative of a BioWatch jurisdiction (either an employee, or a contractor) assigned responsibility for installing and removing filters from aerosol collection devices and transportation to local laboratories for sample analysis. A standard filter log form is completed for each sample and is archived by the BioWatch jurisdiction for a period of one year. The BioWatch Program reimburses participating jurisdictions for the cost of collection and laboratory analysis activities, including the preparation of the filter log form and other documentation. The creation of a written record for each sample is required to support law enforcement activities, including criminal prosecution in the case of a deliberate release of a biological agent.

None
None

Not associated with rulemaking

  73 FR 18542 04/04/2008
73 FR 43946 07/29/2008
No

1
IC Title Form No. Form Name
Filter Holder Log DHS 9500 Filter Holder Log

  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 190,008 0 0 190,008 0 0
Annual Time Burden (Hours) 3,173 0 0 3,173 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$144,770
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Renee Joskow 7036478073

  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.
08/19/2008


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