BioWatch Filter Holder Log

Forms and Documents

Document Name	Status
Form DHS Form 9500 Filter Holder Log Form	Modified
FBI Quality Assurance Guidelines.doc Supplementary Document	2008-08-19
USC Title 28A.doc Supplementary Document	2008-08-19
Supporiting Statment 1601 0006.docx Supporting Statement A	2011-07-26
60 Day FRN 1601 0006 Published.pdf Supplementary Document	2011-07-26
30 Day FRN 1601 0006 Published.pdf Supplementary Document	2011-07-26

IC Document Collections

IC ID	Document Title	Status
186177	Filter Holder Log Form	Modified

ICR Details

OMB Control No: 1601-0006	ICR Reference No: 201107-1601-001
Status: Historical Active	Previous ICR Reference No: 200808-1601-002
Agency/Subagency: DHS/OS	Agency Tracking No:
Title: BioWatch Filter Holder Log
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/05/2011
	Date Received in OIRA: 08/09/2011
Terms of Clearance: Approved for 2 years with this ToC: This collection is approved for only two years due to lack of full GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2011
Responses	190,008	0	190,008
Time Burden (Hours)	3,173	0	3,173
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): None

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:
	76 FR 24504	05/02/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 42130	07/18/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary 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	190,008	190,008	0	0	0	0
Annual Time Burden (Hours)	3,173	3,173	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: $144,770

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/09/2011

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