EEOICPA Dose Reconstruction Interviews and Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
EEOICPA Dose Reconstruction Interviews and Form	Form and Instruction	Modified	Available
Form No number EEOICPA Dose Reconstruction Interviews Conclusion Form	Form	Modified	Available
Justification for Change 12 16 09.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-01-07	Available
Phone Interview with Proposed Revisions.doc	Supplementary Document	Uploaded 2010-01-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6981	EEOICPA Dose Reconstruction Interviews and Form	Form and Instruction	Modified
188308	EEOICPA Dose Reconstruction Interviews Conclusion Form	Form	Modified

ICR Details

OMB Control No: 0920-0530	ICR Reference No: 201002-0920-002
Status: Historical Active	Previous ICR Reference No: 200903-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: EEOICPA Dose Reconstruction Interviews and Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/03/2010
	Date Received in OIRA: 02/02/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	03/31/2012	03/31/2012
Responses	12,600	0	12,600
Time Burden (Hours)	4,900	0	4,900
Cost Burden (Dollars)	0	0	0

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Abstract: NIOSH is estimating the radiation doses incurred occupationally by US nuclear weapons production employees with cancer covered by the "Energy Employees Occupational Illness Compensation Act Program Act of 2000". These 'dose reconstructions' will be conducted using methods promulgated by HHS under 42 CFR 82. An essential data source for conducting the dose reconstructions is the claimant or next of kin or coworker of the employee. These individuals have uniquely accessible knowledge of work conditions and radiation protection and exposure measurement practices.

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Authorizing Statute(s): US Code: 42 USC 7384 Name of Law: EEOICPA
   PL: Pub.L. 106 - 398 3624 Name of Law: Enerby Employees Occupational Illness Compensation Program Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0920-ZA00	Final or interim final rulemaking	67 FR 22314	05/02/2002

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 75435	12/11/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 6414	02/09/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
EEOICPA Dose Reconstruction Interviews and Form	none	Telephone Interview with Claimants and Coworkers
EEOICPA Dose Reconstruction Interviews Conclusion Form	No number	EEOICPA Conclusion Form

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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	12,600	12,600	0	0	0	0
Annual Time Burden (Hours)	4,900	4,900	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,094,133

Does this IC contain surveys, censuses, or employ statistical methods? No

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 02/02/2010

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