Information Collection Request

Biomonitoring of Great Lakes Populations Program

ICR 201210-0923-001 · OMB 0923-0044 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
MI Contact Information Sheet Form New Repair queued
NY - Network Questions - Burmese Form Modified Repair queued
NY Interview - Burmese Form Modified Repair queued
NY Consent - Burmese Form Modified Repair queued
NY Screener - Burmese Form Modified Repair queued
NY Questionnaire Form Modified Available
NY Consent Form Modified Repair queued
NY Responder Script Form Modified Repair queued
NY Nonresponder Script Form Modified Repair queued
NY Online Screener Form Modified Repair queued
NY Mail-in Screener Form Modified Available
MN Participation Record Form Modified Repair queued
MN Clinic Visit Form Form Modified Repair queued
MN Participant Questionnaire Form Modified Available
MN Contact Information Form Modified Repair queued
MN Consent Form Modified Repair queued
MN Refusal Questions Form Modified Available
MN Recruitment Script Form Modified Repair queued
MI Biomonitoring Questionnaire Form Modified Available
MI Informed Consent Form Modified Available
MI Scheduling Questionnaire Form Modified Repair queued
MI Screener Form Modified Repair queued
Att7c_CLIA_Certs_20120531.docx Supplementary Document Uploaded 2012-10-04 Repair queued
3-GreatLakes_SSB_20120712.doc Supporting Statement B Uploaded 2012-09-27 Repair queued
Att10c2_metals_results_letter (Burmese Translation).pdf Supplementary Document Uploaded 2012-10-01 Available
Att10c1_chem_results_letter (Burmese Translation).pdf Supplementary Document Uploaded 2012-10-01 Available
Att7d_Lab_Contact_Info.docx Supplementary Document Uploaded 2012-10-01 Repair queued
Att7b_Prgm_QAQC_Proc_20120927_clean.docx Supplementary Document Uploaded 2012-10-01 Repair queued
Att7a_ChemAnalytes 20120927_clean.docx Supplementary Document Uploaded 2012-10-01 Available
2-GreatLakes_SSA_ListAtt_20120927_clean.docx Supplementary Document Uploaded 2012-10-01 Repair queued
Att10c_NY_Results_Commun 20120619.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att10b_MN_Results_Commun_20120619.doc Supplementary Document Uploaded 2012-09-27 Available
Att10a_MI_Results_Commun_20120712.doc Supplementary Document Uploaded 2012-09-27 Repair queued
Att10_Results_Commun_20120723.docx Supplementary Document Uploaded 2012-09-27 Available
Att9_Non-research_20120131.docx Supplementary Document Uploaded 2012-09-27 Available
Att8_Outside_Consults_20120131.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att6_NY_ICFlow 20120619.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att4_MI_ICFlow 20120619.docx Supplementary Document Uploaded 2012-09-27 Available
Att5_MN_ICFlow 20120619.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att3b_Prgrm_Smmry_Flw_Chrt_20120619.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att3a_State_Cprtv_Agrmnt_Prtnrs_20120619.docx Supplementary Document Uploaded 2012-09-27 Available
Att2_60dyFRN_20111104.pdf Supplementary Document Uploaded 2012-09-27 Repair queued
Att1_AuthLegsl_20120131.docx Supplementary Document Uploaded 2012-09-27 Repair queued
2-GreatLakes_SSA_Refs_20120619.docx Supplementary Document Uploaded 2012-09-27 Available
Att6a_NY_FctSht_LA_20120619.docx Supplementary Document Uploaded 2012-09-27 Repair queued
Att4a1._MI_Dtrt_AOC_Brochure_20120712.pdf Supplementary Document Uploaded 2012-09-27 Available
2-GreatLakes_SSA_20120927_clean.docx Supporting Statement A Uploaded 2012-10-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
204369 MI Contact Information Sheet Form New
201475 NY - Network Questions - Burmese Form Modified
201474 NY Interview - Burmese Form Modified
201473 NY Consent - Burmese Form Modified
201472 NY Screener - Burmese Form Modified
201471 NY Questionnaire Form Modified
201470 NY Consent Form Modified
201469 NY Responder Script Form Modified
201468 NY Nonresponder Script Form Modified
201467 NY Online Screener Form Modified
201466 NY Mail-in Screener Form Modified
201465 MN Participation Record Form Modified
201464 MN Clinic Visit Form Form Modified
201463 MN Participant Questionnaire Form Modified
201462 MN Contact Information Form Modified
201461 MN Consent Form Modified
201460 MN Refusal Questions Form Modified
201459 MN Recruitment Script Form Modified
201458 MI Biomonitoring Questionnaire Form Modified
201457 MI Informed Consent Form Modified
201456 MI Scheduling Questionnaire Form Modified
201455 MI Screener Form Modified
ICR Details
0923-0044 201210-0923-001
Historical Active 201203-0923-001
HHS/TSDR
Biomonitoring of Great Lakes Populations Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/11/2012
Retrieve Notice of Action (NOA) 10/03/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved
7,664 0 0
938 0 0
0 0 0

In 2009, the federal Great Lakes Restoration Initiative (GLRI) was established under the stewardship of the U.S. Environmental Protection Agency (US EPA) to protect, restore, and maintain the Great Lakes ecosystem in partnership with 15 other federal agencies. The task force of federal agencies developed the GLRI Action Plan which covers fiscal years 2010 to 2014. In the first 2 years the U.S. EPA has received over three quarters of a billion dollars through the Obama administration's stimulus funding to make substantial progress towards restoring the Great Lakes to ecological health. Under an interagency agreement with the US EPA, the Agency for Toxic Substances and Disease Registry (ATSDR) established the Great Lakes Biomonitoring Program under its 1980 Comprehensive Environmental Response Compensation and Liability Act (CERCLA) authority. The ATSDR Great Lakes Biomonitoring Program aims to provide a human exposure assessment to Great Lakes contaminants among targeted subpopulations concurrent with the onset of restoration activities. The Agency for Toxic Substances and Disease Registry (ATSDR) announced a funding opportunity called the "Biomonitoring of Great Lakes Populations Program" (CDC-RFA-TS10-1001). From the applicants for this cooperative agreement, ATSDR awarded funds to the Michigan Department of Community Health (MDCH), the Minnesota Department of Health (MDH), and the New York State Department of Health (NYS DOH) to conduct non-research studies of human exposures and to advance jurisdiction-specific public health actions. This public health effort focuses on vulnerable or susceptible subpopulations with the potential for increased risk of exposure to persistent contaminants common to the Great Lakes watersheds and ecosystems.

PL: Pub.L. 111 - 88 1 Name of Law: Dept of Interior, Environment, and Related Agencies Act of 2010
   US Code: 42 USC 9604 Name of Law: CERCLA
   US Code: 42 USC 9626 Name of Law: Superfund Act of 1986
  
None

Not associated with rulemaking

  76 FR 6842 11/04/2011
77 FR 12594 03/01/2012
No

  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 7,664 0 0 7,664 0 0
Annual Time Burden (Hours) 938 0 0 938 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a resubmission of a new ICR.

$3,800,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]

  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.
10/03/2012