Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES)

Forms and Documents

Document Name	Status
ABLES Aggregate Records Form and Brief Narrative Report Form and Instruction	New
ABLES Case Records Form and Brief Narrative Report Form and Instruction	New
CBLS Aggregate Records Form Form and Instruction	New
CBLS Variables - Text Files Form and Instruction	New
Att7b NIOSH ABLES Research Determination.pdf Supplementary Document	2017-11-07
Att7a NCEH CBLS Research Determination.pdf Supplementary Document	2017-11-07
Att6b ABLES_PIA_Determination.pdf Supplementary Document	2017-11-07
Att6a CBLS_PIA_Recert_2016 _20171004.pdf Supplementary Document	2017-11-07
Att4 Summary Table CBLS ABLES Program Activities.docx Supplementary Document	2017-11-07
Att3c 2015 HHLPSS NOA.pdf Supplementary Document	2017-11-07
Att3b FY14 HHLPSS FOA.pdf Supplementary Document	2017-11-07
Att3a FY17 CBLS FOA.pdf Supplementary Document	2017-11-07
Att2 CBLS-ABLES 60dyFRN 20170406.pdf Supplementary Document	2017-11-07
Att1b NIOSH Authority.pdf Supplementary Document	2017-11-07
Att1a NCEH Authority.pdf Supplementary Document	2017-11-07
CBLS-ABLES SSB 20171018 clean.docx Supporting Statement B	2017-11-07
CBLS-ABLES SSA 20171018 clean.docx Supporting Statement A	2017-11-07

IC Document Collections

IC ID	Document Title	Status
228989	ABLES Aggregate Records Form and Brief Narrative Report Form and Instruction	New
228988	ABLES Case Records Form and Brief Narrative Report Form and Instruction	New
228987	CBLS Aggregate Records Form Form and Instruction	New
228986	CBLS Variables - Text Files Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201710-0920-005
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17ZX
Title: Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES)
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 04/25/2018
	Date Received in OIRA: 11/13/2017
Terms of Clearance: Agency will withdraw and resubmit collection under OMB control no. 0920-0931.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for Environmental Health (NCEH) is leading a new three-year information collection request (ICR) that covers two CDC information collections, one for Childhood Blood Lead Surveillance (CBLS) by NCEH and another for Adult Blood Lead Epidemiology & Surveillance (ABLES) by the National Institute for Occupational Safety and Health (NIOSH).Together, CBLS and ABLES offer a coordinated, comprehensive, and systematic public health approach to eliminate lead poisoning over the United States (US) population lifespan. CDC requests an annual time burden of 1,040 burden hours for both collections.

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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:
	82 FR 16839	04/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 52047	11/09/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
CBLS Aggregate Records Form	NA	CBLS Aggregate Records Form
ABLES Aggregate Records Form and Brief Narrative Report	NA	ABLES Aggregate Records Form and Brief Narrative Report
ABLES Case Records Form and Brief Narrative Report	NA	Adult Blood Lead Epidemiology and Surveillance (ABLES) Case Records Form and Brief Narrative Report
CBLS Variables - Text Files	NA	Submission Format - Childhood Blood Lead Surveillance (CBLS) - Text Files

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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 0920-17ZX - CBLS/ABLES is a New ICR

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Annual Cost to Federal Government: $7,780,833

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.     Yes

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.     Yes

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: 11/13/2017

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