Morbidity Study of Former Marines, Dependents, and Employees Potentially Exposed to Contaminated Drinking Water at USMC Base Camp Lejeune

ICR 201104-0923-001

OMB: 0923-0042

Federal Form Document

Forms and Documents
Document
Name
Status
Form
 Modified
Supplementary Document
2011-04-25
Supporting Statement B
2011-04-11
Justification for No Material/Nonsubstantive Change
2011-04-11
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supporting Statement A
2011-04-11
IC Document Collections
IC ID
Document
Title
Status
195214 Modified
ICR Details
0923-0042 201104-0923-001
Historical Active 201011-0923-001
HHS/TSDR
Morbidity Study of Former Marines, Dependents, and Employees Potentially Exposed to Contaminated Drinking Water at USMC Base Camp Lejeune
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 04/28/2011
Retrieve Notice of Action (NOA) 04/14/2011
Previous Terms of Clearance apply.
  Inventory as of this Action Requested Previously Approved
11/30/2013 11/30/2013 11/30/2013
47,601 0 47,601
35,701 0 35,701
0 0 0
On Jan. 28, 2008, President Bush signed H.R. 4986: National Defense Authorization Act for FY 2008 which requires ATSDR to develop a health survey of individuals possibly exposed to contaminated drinking water at Camp Lejeune that would collect: "...personal health information that may lead to scientifically useful health information associated with exposure to trichloroethylene (TCE), [tetrachloroethylene or perchloroethylene] (PCE), vinyl chloride, and the other contaminants identified in the ATSDR studies that may provide a basis for further reliable scientific studies of potentially adverse health impacts of exposure to contaminated water at Camp Lejeune." The health survey will be mailed to everyone identified as having lived or worked at Camp Lejeune during the period of drinking water contamination. This includes anyone who registers with the US Marine Corps or ATSDR and those identified by computerized databases from the Defense Manpower Data Center or ATSDR. To have an unbiased sampling frame, the morbidity study population will consist of those identified by computerized databases who lived or worked at Camp Lejeune during the period of drinking water contamination. A comparison group is randomly sampled from Marines and civilian employees who were stationed at Camp Pendleton and not at Camp Lejeune during the period of water contamination.
PL: Pub.L. 110 - 181 315 Name of Law: National Defense Authorization Act
  
None
Not associated with rulemaking
No
1
IC Title Form No. Form Name
Health Survey none Health Survey
  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 47,601 47,601 0 0 0 0
Annual Time Burden (Hours) 35,701 35,701 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$4,900,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Carol Walker 404 639-4773
  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.
04/14/2011
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