Change Request Justification - FY2015 Q3

ATSDR GENERIC CLEARANCE FOR “ASSESSMENT OF CHEMICAL EXPOSURES (ACE) INVESTIGATIONS”

OMB CONTROL NO. 0923-0051 (EXP. DATE 3/31/2018)

QUARTERLY CHANGE REQUEST

JUSTIFICATION: This is a change request to report the actual burden hours used for ACE Investigations GenICs.

REPORTING PERIOD

FISCAL YEAR: 2015

QUARTER: 3

SUMMARY OF APPROVED NUMBER OF RESPONSES AND BURDEN HOURS
	APPROVED DATES	DATE OF COLLECTION	RESPONSES	BURDEN HOURS
GENERIC CLEARANCE	Exp Date 3/31/2018		3870	1773
BALANCE REMAINING			3854	1766
GenIC REPORT
Methyl Bromide Release at a Condominium Resort - U.S. Virgin Islands	4/3/2015 7/2/2015	4/6/2015 5/4/2015	16	7 (400/60 minutes)
GenIC Attachments Attachment B. General Survey Adult Methyl Bromide- final Attachment D. ACE Survey Consent Form Methyl Bromide - final

Attachment F. ACE Investigations Burden Memo