Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA)
Dose Reconstruction Interviews and Forms
Request for Office of Management and Budget (OMB) Review and Approval for a Federally Sponsored Data Collection
Supporting Statement
Part B
David S. Sundin
Project Officer
National Institute for Occupational Safety and Health
Division of Compensation and Analysis (DCAS)
Robert A. Taft Laboratories
4676 Columbia Parkway
Cincinnati, Ohio 45226
513-533-6825
513-533-6826 (fax)
November 2011
B. Collections of Information Employing Statistical Methods 3
B.1 Respondent Universe and Sampling Methods 3
B.2 Procedures for the Collection of Information 3
B. 3. Methods to Maximize Response Rates and Deal with Nonresponse 4
B. 4. Tests of Procedures or Methods to be Undertaken 4
Attachments
Attachment A: Energy Employees Occupational Illness Compensation Program Act of 2000
Attachment B: HHS Privacy Impact Assessment
Attachment C: Telephone Interviews with Claimants/Coworkers and Introductory Letters
Attachment D: Form OCAS-1
Attachment E: 60 day Federal Register Notice
Attachment F: IRB Documentation
This is a federal mandated program. No statistical methods will be used, however; the following procedures listed in B. 2 are used to collect information.
The respondent universe includes all claimants. This is a federal mandated program. No statistical methods will be used, however; the following procedures listed in B. 2 are used to collect information.
In performance of its dose reconstruction responsibilities under the Act, NIOSH interviews claimants individually and provides them with the opportunity, through a structured interview, to assist NIOSH in documenting the work history of the employee (characterizing the actual work tasks performed), identifying incidents that may have resulted in undocumented radiation exposures, characterizing radiation protection and monitoring practices, and identifying co-workers and other witnesses to supplement or confirm information, if necessary. In this process, NIOSH uses a computer assisted telephone interview (CATI) system, which will allow interviews to be conducted more efficiently and quickly than would be the case with a paper-based interview instrument.
NIOSH uses the data collected in this process to complete an individual dose reconstruction that accounts for radiation dose, including unmonitored or inadequately monitored dose, incurred by the employee in the line of duty for DOE nuclear weapons production programs. After dose reconstruction, NIOSH provides a draft of the dose reconstruction report to the claimant and reviews the information used, methods, and results with the claimants. This is the final opportunity for the claimant to supplement the dose reconstruction record.
At the conclusion of the dose reconstruction process, the claimant is requested to submit to NIOSH a form (OCAS-1, Attachment D) to confirm that all information available to the claimant has been provided to NIOSH, and that the information is believed to be true. The form notifies the claimant that signing the form allows NIOSH to provide a final dose reconstruction report to DOL and closes the record on data to be used for the dose reconstruction. DOL will use data from the dose reconstruction report to determine the probability that the cancer(s) of the covered employee may have been caused by radiation doses incurred in the line of duty at a DOE or Atomic Weapons Employer (AWE) facility.
This section does not apply to this data collection because 42 C.F.R. pt 82 implements a federally mandated law requiring collection of this data.
This is a request for the reinstatement of the Dose Reconstruction Telephone Interviews and OCAS-1 form under the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA)–OMB No. 0920-0530 (expiration date: 3/31/2012). There are no changes to data collection or survey method. NIOSH has updated the cover letter and text on the cover page to the questions to more fully explain the purpose and expectations of the telephone interview.
This project has been ongoing since NIOSH was given the statutory authority under 42 C.F.R. pt. 82. The project officer is available for consultation. His contact information is listed below.
Designed the data collection:
David S. Sundin
Deputy Director
Division of Compensation Analysis and Support, NIOSH
Robert A. Taft Laboratories
4676 Columbia Parkway
Cincinnati, Ohio 45226
513-533-6825
Will collect the data:
Kate Kimpan
Project Officer
Oak Ridge Associated Universities (ORAU)—Cincinnati Operations Office
4850 Smith Road, Suite 200
Cincinnati, OH 45212
(513) 758-1636
Will analyze the data:
Ed Maher
Manager, Objective 3 (Dose Reconstruction Team)
Oak Ridge Associated Universities (ORAU) Team
526 Main Street
One Action Place
Action, MA 01720
(Manages approximately 33 employees on this project)
Pat Kraps
Manager, Objective 2 (Computer Assisted Telephone Interview, CATI, Team)
Oak Ridge Associated Universities (ORAU)—Cincinnati Operations Office
4850 Smith Road, Suite 200
Cincinnati, OH 45212
(Manages approximately 13 employees on this project)
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | tqs7 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |