American Healthy Homes Survey II

Forms and Documents

Document Name	Status
Appendix F Nonresponse follow-up questionnaire.HUD._21nov17.docx Supplementary Document	2017-11-21
AHHS II Appendix A_Field Protocols Questionnaire Informed Consent._21nov17.docx Supplementary Document	2017-11-21
AHHS II Appendix D IRB Protocol Approval 12.6.16.pdf Supplementary Document	2017-06-02
AHHS II Appendix B Title X.doc Supplementary Document	2017-06-02
AHHS II Appendix A_Field Protocols Questionnaire Informed Consent_9mar17.docx Supplementary Document	2017-06-02
AHHS II ICR Supporting Statement Rev.c_11dec17.doc Supporting Statement A	2017-12-12
30-Day Federal Register.pdf Supplementary Document	2017-06-02

IC Document Collections

IC ID	Document Title	Status
226989	American Healthy Homes Survey II Other-Appendix B	New

ICR Details

OMB Control No: 2539-0026	ICR Reference No: 201705-2539-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/OLBPPP	Agency Tracking No:
Title: American Healthy Homes Survey II
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: 12/13/2017
	Date Received in OIRA: 06/02/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved
Responses	1,364	0	0
Time Burden (Hours)	2,441	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected through this survey will be used to estimate existing levels of key environmental contaminants in the nation's housing, including lead levels in paint, dust, soil and water, and mold and pesticide levels in dust. Two procedures to determine mold present in homes will be compared. For the first time, data will be collected to estimate formaldehyde concentrations in indoor air in a nationally representative sample of homes. The survey is particularly important for allowing the tracking of progress in reducing the prevalence of lead-based paint hazards in U.S. housing. This is a collaboration between HUD and EPA

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Authorizing Statute(s): None

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 88700	12/08/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 25299	06/01/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
American Healthy Homes Survey II

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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	1,364	0	0	1,364	0	0
Annual Time Burden (Hours)	2,441	0	0	2,441	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: This is a New Collection

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Annual Cost to Federal Government: $4,433,826

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 06/02/2017

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