Environmental Public Health Tracking Network (Tracking Network)

Forms and Documents

Document Name	Status
Website Analytics Form and Instruction	New
Evaluation and Performance Measurement Strategy Report Form and Instruction	New
Earned Value Management Report Form and Instruction	New
Communications Plan Form and Instruction	New
Publilc Health Action Report - Existing Awardees Form and Instruction	New
Program Management Tool - New Awardees Form and Instruction	New
Metadata Records Form and Instruction	New
Radon Testing Form and Instruction	New
Hospitalizations Form and Instruction	New
Emergency Department Visits Form Form and Instruction	New
Community Drinking Water Monitoring Form Form and Instruction	New
Childhood Lead Blood Levels Form Form and Instruction	New
Birth Defects Prevelance Form Form and Instruction	New
Att12_NCDMrequirementsDocument.pdf Supplementary Document	2017-04-05
Att11_TrackingBranchDataManagementProcesses.pdf Supplementary Document	2017-04-05
Att10_Tracking_DataSources.pdf Supplementary Document	2017-04-05
SSB_Tracking_FINAL.docx Supporting Statement B	2017-04-05
SSA_Tracking_FINAL.docx Supporting Statement A	2017-04-05
Att9_Research Determination Tracking signed OS 2.pdf Supplementary Document	2016-07-19
Att6_2015 Hopkins Panel Final Report.docx Supplementary Document	2016-07-19
Att2 60-day FRN Tracking.pdf Supplementary Document	2016-07-19
Att3b_CDC-RFA-EH14-1405.pdf Supplementary Document	2016-07-19
Att3a_CDC-RFA-EH14-1403.pdf Supplementary Document	2016-07-19
Att1 PHS Act 42 USC §247b(k)(2).doc Supplementary Document	2016-07-19

IC Document Collections

IC ID	Document Title	Status
222657	Website Analytics Form and Instruction	New
222656	Evaluation and Performance Measurement Strategy Report Form and Instruction	New
222655	Earned Value Management Report Form and Instruction	New
222654	Communications Plan Form and Instruction	New
222652	Publilc Health Action Report - Existing Awardees Form and Instruction	New
222650	Program Management Tool - New Awardees Form and Instruction	New
222649	Metadata Records Form and Instruction	New
222648	Radon Testing Form and Instruction	New
222646	Hospitalizations Form and Instruction	New
222533	Emergency Department Visits Form Form and Instruction	New
222532	Community Drinking Water Monitoring Form Form and Instruction	New
222531	Childhood Lead Blood Levels Form Form and Instruction	New
222530	Birth Defects Prevelance Form Form and Instruction	New

ICR Details

OMB Control No: 0920-1175	ICR Reference No: 201607-0920-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-16ZX
Title: Environmental Public Health Tracking Network (Tracking Network)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/06/2017
	Date Received in OIRA: 08/02/2016
Terms of Clearance: Approved consistent with the understanding that CDC endeavors to more prominently display the data sources, limitations, scope/scale, and recommendations for interpretation of the tracking system (currently available on: https://ephtracking.cdc.gov/showIndicatorPages), and will communicate these limitations in any presentations or dissemination of the Tracking Network data. As the Tracking Network primarily collects certain health information from only 26 funded state and local health departments, and since there may exist variation across the jurisdictions' methods for collecting the information-- collected data are not nationally representative. This information is intended to gain insight into issues that are present at the state and local levels, and can be employed to inform regional or multi-state public health actions for those 26 grantees. Additionally, the Tracking Network also includes some national-level data that are relevant to environmental health, which is collected in collaboration with other federal programs.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved
Responses	742	0	0
Time Burden (Hours)	25,320	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This ICR is being submitted as an Existing Collection in use without an OMB Control Number, to come into compliance with the Paperwork Reduction Act.

---

Authorizing Statute(s): US Code: 42 USC 247 Name of Law: Public Health Service Act
  

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:
	81 FR 21878	04/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 49221	07/27/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Birth Defects Prevelance Form	NA	Birth Defects Prevelance Form
Hospitalizations	NA	Hospitalizations Form
Radon Testing	NA	Radon Testing Form
Metadata Records	NA	Metadata Records Form
Program Management Tool - New Awardees	NA	Program Management Tool (New Awardees) Form
Publilc Health Action Report - Existing Awardees	NA	Public Health Action Report (Existing Awardees) Form
Communications Plan	NA	Communications Plan Form
Earned Value Management Report	NA	Earned Value Management Report Form
Evaluation and Performance Measurement Strategy Report	NA	Evaluation and Measurement Strategy Report Form
Website Analytics	NA	Website Analytics Form
Childhood Lead Blood Levels Form	NA	Childhood Lead Blood Levels Form
Community Drinking Water Monitoring Form	NA	Community Drinking Water Monitoring Form
Emergency Department Visits Form	NA	Emergency Department Visits Form

---

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	742	0	0	742	0	0
Annual Time Burden (Hours)	25,320	0	0	25,320	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Submission of 0920-16ZX is an Existing Collection in use without an OMB Control Number. It has been submitted to bring the NCEH collection into compliance with PRA.

---

Annual Cost to Federal Government: $24,674,006

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

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: 08/02/2016

---