List of Attachments

2-GreatLakes_SSA_ListAtt_20120927_clean.docx

Biomonitoring of Great Lakes Populations Program

List of Attachments

OMB: 0923-0044

Document [docx]
Download: docx | pdf

LIST OF ATTACHMENTS


Attachment 1. Authorizing Legislation

Attachment 1a. Department of Interior, Environment, and Related Agencies Appropriations Act, 2010 (Public Law 111-88)

Attachment 1b. Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLA) and Superfund Amendments and Reauthorization Act of 1986 (SARA)

Attachment 2. 60-Day Federal Register Notice

Attachment 3. Program Overview

Attachment 3a. State Cooperative Agreement Programs and Study Areas

Attachment 3b. Program Summary Flow Chart

Attachment 4. Michigan Department of Community Health Data Collection System

Attachment 4a. Screening Questionnaire

Attachment 4a1. Detroit AOC Project Brochure

Attachment 4b. Telephone Questions for Scheduling Appointments

Attachment 4c. Informed Consent

Attachment 4d. Contact Information Sheet

Attachment 4e. Biomonitoring Questionnaire

Attachment 5. Minnesota Department of Health Data Collection System

Attachment 5a. Recruitment Calling Script

Attachment 5b. Refusal Questions Form

Attachment 5c. Individual Consent Brochure and Form

Attachment 5d. Contact Information Form

Attachment 5e. Study Participant Questionnaire

Attachment 5f. Clinic Visit Form

Attachment 5g. Participation Record

Attachment 6. New York State Department of Health Data Collection System

Attachment 6a. Eligibility Screening Cover Letter and Fact Sheet, Licensed Anglers

Attachment 6b. Mail-in Eligibility Screening Survey, Licensed Anglers

Attachment 6c. Online Eligibility Screen Survey, Licensed Anglers

Attachment 6d. Telephone Script for Non-responders to Screening, Licensed Anglers

Attachment 6e. Telephone Script for Eligible Responders to Screening, Licensed Anglers

Attachment 6f. Informed Consent, Licensed Anglers

Attachment 6g. Interview Questionnaire, Licensed Anglers

Attachment 6h. Eligibility Screening Survey, Burmese

Attachment 6i. Informed Consent, Burmese

Attachment 6j. Interview Questionnaire, Burmese

Attachment 6k. Network Size Questions for Respondent Driven Sampling, Burmese

Attachment 7. Program Laboratory Policies and Procedures

Attachment 7a. Chemical Analytes

Table 1. Great Lakes Biomonitoring Chemical Analyte Overview and Index

Table 2. Michigan Department of Community Health Chemical Analytes

Table 3. Minnesota Department of Health Chemical Analytes

Table 4. New York State Department of Health Chemical Analytes

Chemical Analytes Justification

Attachment 7b. Biomonitoring of Great Lakes Populations Laboratory QA/QC Procedures

Attachment 7c. Clinical Laboratory Improvement Amendments (CLIA) Certificates

Attachment 7d. Contact Information for Proficiency Test Reports and Laboratory Standard Operating Procedures

Attachment 8. Additional Consultations Outside the Agency

Attachment 9. ATSDR and State Determination Letters of Non-research Status

Attachment 10. Results Reporting and Communications

Attachment 10a. Michigan Results Communications

Attachment 10a1. Letter 1: Full Results for results not exceeding action levels

Attachment 10a2. Letter 2: Action Level Exceedences for Heavy Metals

Attachment 10a3. Letter 3: Action Level Exceedences for Elevated Cholesterol

Attachment 10a4. Letter 4: Full Results for Those Receiving Letter 2 or 3

Attachment 10a5. Letter 5: Full Results for Those with Exceedences of Other Chemicals

Attachment 10a6. Blood Pressure Factsheet

Attachment 10b. Minnesota Results Communications

Attachment 10b1. Clinical Results Letter

Attachment 10b2. Metals Rapid Results Materials

10b2a. Metals Rapid Results Protocol

10b2b. Rapid Results Letters (Tier 1)

Letter 1: Mercury > 5.8 µg/L (women of childbearing age)

Letter 2: Mercury > 17.4 µg/L (women of childbearing age)

Letter 3: Mercury > 17.4 µg/L (non-sensitive population)

Letter 4: Lead > 5 µg/dL

Letter 5: Cadmium > 1.7 µg/L

10b2c. Mercury Information Sheet

10b2d. Lead Information Sheet

10b2e. Cadmium Information Sheet

10b2f. FDL-MDH Fish Consumption Advisory Brochure

Attachment 10b3. Final Results Letters

10b3a. Letter 1: No rapid results letter sent/Hg below 5.8 ug/L

10b3b. Letter 2: Mercury rapid results letter sent

10b3c. Letter 3: Cadmium or lead rapid results letter sent

10b3d. Letter 4: No rapid results letter sent/Hg above 5.8 ug/L and below 17.4 ug/L

Attachment 10c. New York Results Communications

Attachment 10c1. Sample letter reporting chemical results

Attachment 10c2. Sample letter reporting metal, cholesterol, and triglyceride results


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDavis, Stephanie I. (ATSDR/DHS/HIBR)
File Modified0000-00-00
File Created2021-01-30

© 2024 OMB.report | Privacy Policy