Examining In-Vehicle Exposures to Air Pollutants and Corresponding Health Outcomes of Commuters

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
In-vehicle data collection during scripted commute	Form	New	Available
Symptom diary	Form	New	Available
Baseline Health and Exposure Questionnaire	Form	New	Available
ACE_consent_112409_v4.doc	Supplementary Document	Uploaded 2010-08-05	Available
supporting statement B.docx	Supporting Statement B	Uploaded 2010-05-10	Available
Approval for ACE study 2010-2011.pdf	Supplementary Document	Uploaded 2010-05-10	Available
Attach6_IRBapproval letter_Emory.pdf	Supplementary Document	Uploaded 2010-05-10	Available
Attach2-E9-12746_60d-0920-09BQ_30Mar2010.pdf	Supplementary Document	Uploaded 2010-05-10	Available
Attach 1 Sept09.rtf	Supplementary Document	Uploaded 2010-05-10	Available
Commuter_0920-09BQ_suppstatement_July2010_II.doc	Supporting Statement A	Uploaded 2010-08-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193098	In-vehicle data collection during scripted commute	Form	New	In-vehicle data collection during scripted commute
193097	Symptom diary	Form	New	Symptom diary
193096	Baseline questionnaire	Form	New	Baseline Health and Exposure Questionnaire

ICR Details

OMB Control No: 0920-0859	ICR Reference No: 201006-0920-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Examining In-Vehicle Exposures to Air Pollutants and Corresponding Health Outcomes of Commuters
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: 08/11/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/01/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	12 Months From Approved
Responses	320	0	0
Time Burden (Hours)	180	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Recent epidemiologic studies suggest vehicle-related emissions may be linked to many adverse health effects. Commuters are a potentially susceptible,yet poorly characterized sub-population. A more complete understanding of in-vehicle exposures for commuters, especially those with asthma, is necessary as commuting durations and roadway congestion have steadily increased in the US during the last 20 years. NCEH will conduct a study to characterize in-vehicle exposures to traffic-related air pollutants among commuters, with and without asthma, and any health impacts these exposures may have on the commuter.

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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 26404	06/02/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 26257	05/11/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Baseline questionnaire	none	Baseline Health and Exposure Questionnaire
In-vehicle data collection during scripted commute	none	In-vehicle data collection during scripted commute
Symptom diary	none	Symptom diary

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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	320	0	0	320	0	0
Annual Time Burden (Hours)	180	0	0	180	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: This is a new ICR.

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Annual Cost to Federal Government: $191,522

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? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

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: 06/01/2010

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