NCEH/ATSDR Exposure Investigations (EI)

Forms and Documents

Document Name	Status
Form no form number NCEH/ATSDR Exposure Investigations (EI) Form and Instruction	Modified
Attachment 5. Example Consent Form.doc Supplementary Document	2012-07-31
Attachment 4. Combined set other agencies.doc Supplementary Document	2012-07-31
Attachment 6. Example Human Subjects Research Determination Form.pdf Supplementary Document	2012-07-31
Supp Statements_A-B_Revision EIs_ 7_12_12_(Clean).doc Supporting Statement A	2012-07-26

IC Document Collections

IC ID	Document Title	Status
43625	NCEH/ATSDR Exposure Investigations (EI) Form and Instruction	Modified

ICR Details

OMB Control No: 0923-0040	ICR Reference No: 201208-0923-001
Status: Historical Inactive	Previous ICR Reference No: 200907-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No:
Title: NCEH/ATSDR Exposure Investigations (EI)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 10/02/2012
	Date Received in OIRA: 08/01/2012
Terms of Clearance: Please resubmit as a Generic IC.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	36 Months From Approved	12/31/2012
Responses	750	0	750
Time Burden (Hours)	375	0	375
Cost Burden (Dollars)	0	0	0

---

Abstract: An Exposure Investigations (EI) is an approach developed by ATSDR that employs targeted biologic and environmental sampling to determine whether people may have been exposed to environmental contaminants at concentrations that may result in adverse effects. The EI evaluates potential exposure to contaminants where people reside, work or recreate. After a chemical release or suspected release, ATSDR's E's are used by public health professionals, environmental risk managers, and other decision-makers to determine if current conditions warrant intervention strategies to minimize or eliminate human exposure. EIs are usually requested by the officials of a state health agency, county health department, the Environmental Protection Agency, the general public, or ATSDR staff.

---

Authorizing Statute(s): PL: Pub.L. 99 - 499 100 Name of Law: Superfund Amendments and Reauthorization Act of 1986 (SARA)
   US Code: 42 USC 9604 Name of Law: CERCLA 1980 and SARA 1986
   PL: Pub.L. 96 - 510 94 Name of Law: CERCLA
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 19016	03/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 43286	07/24/2012
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
NCEH/ATSDR Exposure Investigations (EI)	no form number	Chemical Exposure Questions

---

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The total annualized burden hour estimate for this ICR is slightly decreased to reflect a decrease in the number of EIs requiring a questionnaire each year (i.e., reduction from 10-15 to 7). The new burden hour estimate is now 350 hours instead of 375.

---

Annual Cost to Federal Government: $960,000

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? 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]? 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

---

Common Form ICR:  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:

(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: 08/01/2012

---