Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0109 Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators)	Form	Modified	Repair queued
Form 0920-0109 Respiratory Protective Devices-42 CFR part 84-Regulation (Audit)	Form	Modified	Available
SupportingStatementB-12.14.17.doc	Supporting Statement B	Uploaded 2018-02-21	Available
SupportingStatement A 02FEB2018.DOC	Supporting Statement A	Uploaded 2018-02-21	Available
Att 5 IRB determination.pdf	Supplementary Document	Uploaded 2018-02-20	Available
Att 3 60-day FRN.pdf	Supplementary Document	Uploaded 2018-02-20	Available
Att 1 USCODE-2011-title29-chap15-sec657.pdf	Supplementary Document	Uploaded 2018-02-20	Available
Att 2_ 42CFR84.pdf	Supplementary Document	Uploaded 2014-07-25	Available
Att 1_OSH 29CFR671 Sec20.doc	Supplementary Document	Uploaded 2014-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6639	Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators)	Form	Modified
197842	Respiratory Protective Devices-42 CFR part 84-Regulation (Audit)	Form	Modified

ICR Details

OMB Control No: 0920-0109	ICR Reference No: 201801-0920-002
Status: Historical Active	Previous ICR Reference No: 201407-0920-016
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0109
Title: Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/05/2018
	Date Received in OIRA: 02/22/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved
Responses	570	0	0
Time Burden (Hours)	118,435	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is in support of 42 CFR Part 84, which provides for evaluation of respiratory protective devices intended for protection against hazardous atmospheres. This collection allows applicants to provide information about their ability to consistently produce respirators that meet the requirements described in 42 CFR Part 84. This request for a Reinstatement with Change results from an increase in the number or Respondents who apply for respirator approvals.

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Authorizing Statute(s): US Code: 30 USC 3 Name of Law: Duties of the United States Bureau of Mines
   US Code: 30 USC 811 Name of Law: Mandatory Safety and Health Standards
   US Code: 30 USC 5 Name of Law: Reports of Investigations
   US Code: 30 USC 7 Name of Law: Fees for Tests or Investigations
   US Code: 30 USC 842(h) Name of Law: Dust Concentration and Respiratory Equipment
   US Code: 30 USC 844 Name of Law: Rock, Dust, and Gas Hazards, Controls
   US Code: 29 USC 657 Name of Law: Inspections and Recordkeeping
   US Code: 42 USC 84 Name of Law: Approval of Respiratory Protective Devices
  

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 48812	10/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 7188	02/20/2018
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
Information Collection Provisions in 42 CFR Part 84 - (Standard Application fro the Approval of Resiporators)	0920-0109	Standard Application Form for Respirator Approval
Respiratory Protective Devices-42 CFR part 84-Regulation (Audit)	0920-0109	Audit Form

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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	570	0	0	570	0	0
Annual Time Burden (Hours)	118,435	0	0	118,435	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: The Reinstatement with Change for 0920-0544 - Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices, results in an increase in overall Burden Hours due to the increase in number of Respondents who apply for respirator approvals.

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Annual Cost to Federal Government: $490,522

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: 02/22/2018

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