Information Collection Request

Collections Related to Synthetic Turf Fields with Crumb Rubber Infill

ICR 201608-0923-001 · OMB 0923-0054 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Activity 2 - Exposure Measurement Form (Youth/Child Facility Users Form and Instruction Unchanged Available
Activity 2 - Phlebotomist Safety Exclusion Questions Form (Parents/Guardians of Youth/Child Facility Users) Form and Instruction Unchanged Repair queued
Activity 2 - Youth and Child Questionnaire - (Parents/Guardians of Youth/Child Facility Users) Form and Instruction Modified Available
Activity 2 - Eligibility Screening Script (Parents/Guardians of Youth/Child Facility Users) Form and Instruction Unchanged Available
Activity 2 - Phlebotomist Safety Exclusion Questions Form - (Adult/Adolescent Facility Users) Form and Instruction Unchanged Repair queued
Activity 2 - Exposure Measurement Form - (Adult/Adolescent Facility Users) Form and Instruction Unchanged Repair queued
Activity 2 - Adult and Adolescent Questionnaire (Adult/Adolescent Facility Users) Form and Instruction Unchanged Repair queued
Activity 2 - Eligibility Screening Script (Adult/Adolescent Facility Users) Form and Instruction Modified Repair queued
Activity 1 - Field Sampling Collection Form Form and Instruction Unchanged Repair queued
Activity 1 - Owner Manager Questionnaire Form and Instruction Unchanged Available
Activity 1 - Eligibility Screening Form Form and Instruction Unchanged Available
Activity 1 - Facility Sampling Collection Form Form and Instruction Unchanged Repair queued
Activity 1 - Invitation Telephone Script Form and Instruction Unchanged Repair queued
Att5c Activity 2 ConsentAssentPermissionForms_Clean 8.1.16.docx Supplementary Document Uploaded 2016-08-02 Available
Att5a Field User Fact Sheet_20160801_Clean.docx Supplementary Document Uploaded 2016-08-02 Repair queued
Att4g SynTurfFldFacilSmpleCollctnAgrmntForm_20160801_Clean.docx Supplementary Document Uploaded 2016-08-02 Available
Att4e Synthetic Turf Field Facility Fact Sheet_20160801_Clean.docx Supplementary Document Uploaded 2016-08-02 Available
Att4c TireRecyclngFacil Sample Collctn Agrmnt Form_20160801_Clean.docx Supplementary Document Uploaded 2016-08-02 Repair queued
Att4a Tire Recycling Plant Fact Sheet_20160801_Clean.docx Supplementary Document Uploaded 2016-08-02 Available
Att8 CDC IRB Approval 20160729.pdf Supplementary Document Uploaded 2016-08-02 Repair queued
Change Request Justification - 0923-0054 Synthetic Turf.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-08-02 Repair queued
Att5c Activity 2 ConsentAssentPermissionForms_20160716 clean.docx Supplementary Document Uploaded 2016-07-21 Available
Att5a Field User Fact Sheet_20160716 clean.docx Supplementary Document Uploaded 2016-07-21 Available
Att4g SynTurfFldFacilSmpleCollctnAgrmntForm_20160716 clean.docx Supplementary Document Uploaded 2016-07-21 Available
Att4e Synthetic Turf Field Facility Fact Sheet_20160716 clean.docx Supplementary Document Uploaded 2016-07-21 Repair queued
Att4c TireRecyclngFacil Sample Collctn Agrmnt Form_20160718 clean.docx Supplementary Document Uploaded 2016-07-21 Repair queued
Att4a Tire Recycling Plant Fact Sheet_20160716 clean.docx Supplementary Document Uploaded 2016-07-21 Available
SSB _Synthetic Turf_20160716 clean.docx Supporting Statement B Uploaded 2016-07-21 Repair queued
SSA _Synthetic Turf_20160720 clean.docx Supporting Statement A Uploaded 2016-07-21 Available
Att9 US EPA Human Research Review Approval.pdf Supplementary Document Uploaded 2016-07-13 Available
Att8 CDC IRB Approval.docx Supplementary Document Uploaded 2016-07-13 Repair queued
Att7 Research Protocol.docx Supplementary Document Uploaded 2016-07-13 Available
Att3 ExtrnlPeerReviewCmmnts and AgencyRspnses.docx Supplementary Document Uploaded 2016-07-13 Repair queued
Att2a Responses to Public Comments.docx Supplementary Document Uploaded 2016-07-13 Available
Att2a Category 8 - Previous Studies and Literature Review Comments.pdf Supplementary Document Uploaded 2016-07-13 Available
Att2a Category 7 - Epidemiological study comments.pdf Supplementary Document Uploaded 2016-07-13 Repair queued
Att2a Category 6 - Methodology Comments.pdf Supplementary Document Uploaded 2016-07-13 Repair queued
Att2a Category 5 - Detailed Requests.pdf Supplementary Document Uploaded 2016-07-13 Repair queued
Att2a Category 4 - Banning moratorium and precautionary principle comments.pdf Supplementary Document Uploaded 2016-07-13 Available
Att2a Category 3 - Beyond the Scope Comments.pdf Supplementary Document Uploaded 2016-07-13 Available
Att2a Category 2 - Children and Childrens Health Comments.pdf Supplementary Document Uploaded 2016-07-13 Available
Att2a Category 1 - General Comments.pdf Supplementary Document Uploaded 2016-07-13 Available
ATSDR 30-Day FRN_Synthetic Turf.docx Supplementary Document Uploaded 2016-07-12 Repair queued
Att2 60d FRN SynthcTrf Crumb Rubber 20160218.pdf Supplementary Document Uploaded 2016-07-12 Repair queued
Att1 AuthLegsl.docx Supplementary Document Uploaded 2016-07-12 Available
20160711 OMBEmerRqustMemo Synthetic Turf 7.11.16_Signed.pdf Supplementary Document Uploaded 2016-07-12 Repair queued
ICR Details
0923-0054 201608-0923-001
Historical Active 201607-0923-001
HHS/TSDR 0923-0054-16AWQ
Collections Related to Synthetic Turf Fields with Crumb Rubber Infill
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/22/2016
Approved without change 08/05/2016
Retrieve Notice of Action (NOA) 08/04/2016
Previous terms apply: Approved consistent with CDC’s characterization of the study as exploratory, and will not be sufficient by itself to directly answer the public’s questions about safety. Specifically, CDC explains that, while the sample design will not allow for generalization of results to the universe of tire crumb rubber infill and synthetic turf fields in the United States, the research will provide valuable information to better understand and identify the important potential chemical and microbiological exposures, and the tire crumb rubber constituents, exposures, and human activity factors. This investigative pilot study is intended to set the stage for designing and implementing future human exposure studies, if feasible. The biological specimens collected during this study will be archived until suitable methods and funding are available.
  Inventory as of this Action Requested Previously Approved
01/31/2017 01/31/2017 01/31/2017
379 0 379
333 0 333
0 0 0

The purpose of this information collection is research to evaluate and characterize the chemical composition and use of synthetic turf with crumb rubber infill and exposure potential to contaminants in crumb rubber infill made with recycled tires. ATSDR, along with US EPA, will implement a research protocol with two main research activities to collect this data. The data will be used to inform public health policy decisions and to guide future research activities.
In November 2015, the White House Council on Environmental Quality, requested that the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry (CDC/ATSDR) and the United States Environmental Protection Agency (US EPA), in collaboration with the Consumer Product Safety Commission (CPSC), develop a Federal Research Action Plan to address the issues surrounding synthetic turf with crumb rubber infill. On February 12, 2016, US EPA, ATSDR, and the CPSC, released the Federal Research Action Plan on Recycled Tire Crumb Used on Playing Fields and Playgrounds. As part of the action plan, ATSDR and US EPA are co-sponsoring this research study this titled Collections Related to Synthetic Turf Fields with Crumb Rubber Infill. This is a new information collection request (ICR). Given the highly constrained timeline in the action plan, ATSDR is requesting Paperwork Reduction Act (PRA) clearance for 6 months (180 days), in accordance with 5 CFR 1320, Controlling Paperwork Burdens on the Public, Section 1320.13 Emergency Processing. By the end of November 2016, the agencies anticipate releasing a draft status report that describes the preliminary findings and conclusions of the research through that point in time.

US Code: 42 USC 9604 Name of Law: Superfund Amendments and Reauthorization Act of 1986 (SARA)
  
None

Not associated with rulemaking

  81 FR 8201 02/17/2016
Yes

13
IC Title Form No. Form Name
Activity 2 - Exposure Measurement Form - (Adult/Adolescent Facility Users) NA Activity 2 - Exposure Measurement Form
Activity 2 - Youth and Child Questionnaire - (Parents/Guardians of Youth/Child Facility Users) NA Activity 2 - Youth and Child Questionnaire (Parents/Guardians of Youth/Child Facility Users)
Activity 2 - Phlebotomist Safety Exclusion Questions Form (Parents/Guardians of Youth/Child Facility Users) NA Activity 2 - Phlebotomist Safety Exclusion Questions
Activity 2 - Adult and Adolescent Questionnaire (Adult/Adolescent Facility Users) NA Activity 2 - Adult and Adolescent Questionnaire (Adult/Adolescent Facility Users)
Activity 2 - Phlebotomist Safety Exclusion Questions Form - (Adult/Adolescent Facility Users) NA Activity 2 - Phlebotomist Safety Exclusion Questions
Activity 2 - Eligibility Screening Script (Parents/Guardians of Youth/Child Facility Users) NA Activity 2 - Eligibility Screening Script (Parents/Guardians of Youth/Child Facility Users)
Activity 1 - Invitation Telephone Script NA Activity 1 - Tire Recycling Plant Telephone Script
Activity 1 - Owner Manager Questionnaire NA Synthetic Turf Field Facility Owner/Manager Questionnaire
Activity 1 - Field Sampling Collection Form NA Activity 1 - Synthetic Turf Field Facility Sampling Collection Form
Activity 1 - Facility Sampling Collection Form NA Activity 1 - Tire Recycling Plant Sample Collection Form
Activity 1 - Eligibility Screening Form NA Activity 1 - Synthetic Turf Field Facility Eligibility Screening Script
Activity 2 - Eligibility Screening Script (Adult/Adolescent Facility Users) NA Activity 2 - Eligibility Screening Script (Adult/Adolescent Facility Users)
Activity 2 - Exposure Measurement Form (Youth/Child Facility Users NA Activity 2 - Exposure Measurement Form

  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 379 379 0 0 0 0
Annual Time Burden (Hours) 333 333 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,880,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [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.
08/04/2016