Gulf Oil Spill (3)

Gulf Oil Spill Worker Rostering Survey

Supporting Statement

For an Emergency Clearance Request

(revised 5/11/10)

Renée Funk, DVM, MPH&TM, DACVPM
LCDR, US PHS

Project Officer

[email protected]

National Institute for Occupational Safety and Health

Emergency Preparedness and Response Office

1600 Clifton Rd, MS E-20

404-498-2499(tel)

Table of Contents

A. Justification

1. Circumstances Making the Collection of Information Necessary

2. Purpose and Use of Information Collection

3. Use of Improved Information Technology and Burden Reduction

4. Efforts to Identify Duplication and Use of Similar Information

5. Impact on Small Businesses or Other Small Entities

6. Consequences of Collecting the Information Less Frequently

7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5

8. Comments in Response to the Federal Register Notice and Efforts to Consult Outside the Agency

9. Explanation of Any Payment or Gift to Respondents

10. Assurance of Confidentiality Provided to Respondents

11. Justification for Sensitive Questions

12. Estimates of Annualized Burden Hours and Costs

13. Estimates of Other Total Annual Cost Burden to Respondents or Record Keepers/Capital Costs

14. Annualized Cost to the Government

15. Explanation for Program Changes or Adjustments

16. Plans for Tabulation and Publication and Project Time Schedule

17. Reason(s) Display of OMB Expiration Date is Inappropriate

18. Exceptions to Certification for Paperwork Reduction Act Submissions

Appendices

Appendix A Intake Survey

Appendix B Disclosure form

A. Justification

1. Circumstances Making the Collection of Information Necessary

On April 21, 2010, the Deep Water Horizon oil drilling rig (owned by British Petroleum (BP)) caught fire and sank leading to oil spilling from the sea floor. Thousands of workers are responding to the clean-up activities. The National Institute for Occupational Safety and Health (NIOSH) has been asked to support the Unified Command to establish a systematic rostering of workers participating in Gulf spill response clean-up efforts, including volunteers, by obtaining this information at the time of training, or for those already trained, by working with safety and on-site supervisory officials.  Please see attached disclosure sheet and form.  In previous events, NIOSH has tried to go back and recreate a roster after the fact, which is very difficult and time consuming.  NIOSH is trying to do this prospectively with this group of responders.

NIOSH also intends to conduct a survey post-event with the same group of workers that will be submitted to OMB as a separate package.

NIOSH requests OMB approval to collect information that will assist NIOSH in establish a worker roster for workers responding to the oil spill. Emergency clearance is requested because we are intending to roster people as they are going through safety training before they start work.  Training has already started, and every day that we delay we are missing more people that we will have to try to track down another way.

2. Purpose and Use of Information Collection

The primary objectives are to:

1) Roster workers, including volunteers, participating in clean-up efforts by obtaining this information at the time of training, or for those already trained, by working with safety and on-site supervisory officials

2) Use information from this survey and the post-event survey (to be submitted in a separate package) to analyze potential health effects associated with the clean-up effort

NIOSH will provide a final written report through CDC to BP, its contractors, the workers, and federal and state government agencies. This report will not contain individual information and will be available to the public.

3. Use of Improved Information Technology and Burden Reduction

All data for this study will be collected via a paper-and-pencil questionnaire.

4. Efforts to Identify Duplication and Use of Similar Information

This is a new program. Information has not been previously collected for this purpose.

5. Impact on Small Businesses or Other Small Entities

There will be no impact on small business.

6. Consequences of Collecting the Information Less Frequent Collection

This is a one-time data collection.

7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5

There are no special circumstances.

8. Comments in Response to the Federal Register Notice/Outside Consultation

Due to the emergency nature of the program announce, OMB has waived the FRN requirements for this collection.

9. Explanation of any Payment/Gift to Respondents

Not applicable.

10. Assurance of Confidentiality Provided to Respondents

No personal information will be collected other than general contact information. All information will be maintained in a secure manner.

11. Justification for Sensitive Questions

No sensitive information will be collected.

12. Estimates of Annualized Burden Hours (Total Hours & Wages)

An estimate of 500 workers per county along the gulf coast is expected to be trained for a total of approximately 6,500 workers. The survey takes 15 minutes to complete.

The total estimated burden hours are 1,625.

12A. Estimated Annualized Burden Hours

Type of Respondent	Form Name	No. of Respondents	No. Responses per Respondent	Average Burden per Response (in hours)	Total Burden Hours
Oil spill responders	Gulf Oil Spill Intake Survey	6,500	1	15/60	1,625
		Total			1,625

12B. Cost estimates for a single respondent that has to complete the preliminary

application

Form Name	Total Burden Hours	Hourly Wage Rate	Total Respondent Costs
Gulf Oil Spill Intake Survey	1,625	$45.00	$73,125
	Total		$73,125

13. Estimates of other Total Annual Cost Burden to Respondents or Record Keepers/Capital Costs

There are no additional recordkeeping/capital costs.

14. Annualized Cost to Federal Government

Epidemiologists will be creating the survey, collecting and analyzing the data, and reporting the results.

Type of Federal employee support	Total Burden Hours	Hourly Wage Rate	Total Federal Costs
Epidemiologist	300	$39.48	$11,844

The average hourly wage rate for an epidemiologist is estimated at the GS-13, step 6

level.

15. Explanation for Program Changes or Adjustments

This is a new data collection.

16. Plans for Tabulation and Publication and Project Time Schedule

Data collection will begin as soon as clearance is received.

17. Reason(s) Display of OMB Expiration Date is Inappropriate

Not applicable.

18. Exceptions to Certification for Paperwork Reduction Act Submissions

There are no exceptions to the certification.

B. Collection of Information Employing Statistical Methods If statistical methods will not be used to select respondents and item 17 on Form 83-I is checked “No” use this section to describe data collection procedures.

The applications will be reviewed but the data will not be analyzed using statistical methods.

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