Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0917-021017-1 Pesticide Applicator Questionnaire	Form and Instruction	New	Available
Form 0917-021017 Child Care Center Director Environmental Health Assessment	Form and Instruction	New	Available
IRB Exemption Letter.pdf	Supplementary Document	Uploaded 2017-02-13	Available
60 Day IC for Tribal Health Care Centers in the Pacific Northwest 07-25-16.pdf	Supplementary Document	Uploaded 2017-02-10	Available
30 Day FR Publication 01-10-17.pdf	Supplementary Document	Uploaded 2017-02-10	Available
Enviro Assessment CCC for Portland Part B.docx	Supporting Statement B	Uploaded 2017-07-27	Available
Enviro Assessment Child Care Centers Pacific NW Part A Final.docx	Supporting Statement A	Uploaded 2017-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225685	Pesticide Applicator Questionnaire	Form and Instruction	New
225684	Child Care Center Director Environmental Health Assessment	Form and Instruction	New

ICR Details

OMB Control No: 0917-0038	ICR Reference No: 201702-0917-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/IHS	Agency Tracking No:
Title: Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/04/2017
	Date Received in OIRA: 02/15/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved
Responses	55	0	0
Time Burden (Hours)	53	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Environmental health issues associated with children are present in schools, head start, and daycare facilities on tribal lands, and present an ever increasing set of complex challenges to be addressed. The Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest will measure existing levels of environmental contaminants in tribal child care centers located in the Pacific Northwest. In particular, lead levels in dust and soil, allergy-inducing constituent (allergen) levels in floor samples, pesticide levels in soil, floor and play/work surfaces, and PCB levels in dust, soil, and play/work surfaces will be measured. The survey will estimate the number and percentage of child care centers with lead, allergen, and PCB levels above selected thresholds; collect data to identify sources of lead, allergens, PCBs, and pesticides in child care centers; collect data to permit future analysis of hazard control strategies and costs, e.g., contaminated surface areas; and collect data to permit future analysis for regulation, policy and guidance that minimize regulatory burden. IHS and the U.S. Environmental Protection Agency (EPA) will also incorporate follow-up outreach and education with facilities to explain results and suggest corrective actions to remediate or reduce exposures from lead, allergens, pesticides, and PCBs that are detected in the facilities. Collaboration between the EPA and IHS serves to reduce survey costs and burden to survey participants.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
   US Code: 15 USC 2609 Name of Law: Toxic Substances Control Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 48437	07/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 3007	01/10/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Child Care Center Director Environmental Health Assessment	0917-021017	Child Care Center Director Questionnaire
Pesticide Applicator Questionnaire	0917-021017-1	Pesticide Applicator Questionnaire

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ICR Summary of Burden

table that charts list 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	55	0	0	55	0	0
Annual Time Burden (Hours)	53	0	0	53	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: There are no program changes or adjustments or increase to the ICR or an existing ICR for this type of information collection. This is a new collection.

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Annual Cost to Federal Government: $189,540

Does this IC contain surveys, censuses, or employ statistical methods? No

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

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Common Form ICR:  No

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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: 02/15/2017

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