The Healthy Homes Lead Poisoning Surviellance System (HHLPSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0931 Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables	Form and Instruction	Modified	Repair queued
Att9_Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att8_Research Determination.pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att7_HUD Lead Safe Housing Rule (24 CFR 35).pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att6_Enforcement of Title X and LSHR.pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att5_CDC-RFA-EH14-1408PPHF14 Cooperative Agreement.pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att3_2013 HHLPSS Deployment Map.pdf	Supplementary Document	Uploaded 2018-02-08	Available
SSA-HHLPSS_clean.docx	Supporting Statement A	Uploaded 2018-03-23	Available
Att2_60-day FRN HHLPSS.pdf	Supplementary Document	Uploaded 2018-02-08	Available
Att1_HHLPSS Authority Authorizing Legislation.pdf	Supplementary Document	Uploaded 2018-02-08	Available
SSB_HHLPSS.docx	Supporting Statement B	Uploaded 2018-03-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215085	Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0931	ICR Reference No: 201802-0920-006
Status: Historical Inactive	Previous ICR Reference No: 201502-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0931
Title: The Healthy Homes Lead Poisoning Surviellance System (HHLPSS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/14/2018
	Date Received in OIRA: 03/27/2018
Terms of Clearance: CDC will withdraw and resubmit as a revision request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	18 Months From Approved	05/31/2018
Responses	160	0	160
Time Burden (Hours)	640	0	640
Cost Burden (Dollars)	15,000	0	15,000

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Abstract: The National Center for Environmental Health (NCEH) is requesting an 18-month extension to a three-year information collection request (ICR) for the Healthy Homes and Lead Poisoning Prevention Surveillance system (HHLPSS). The program goal is to improve health and quality of life by preventing disability through the control or elimination of lead exposure. CDC requests an annual time burden of 640 burden hours. Children are defined as persons who are less than 16 years old.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and Investigation in General
   US Code: 42 USC 247b- 1 Name of Law: Screenings, Referrals, and Education Regarding Lead Poisoning
   US Code: 42 USC 247b- 3 Name of Law: Education, Technology Assessment, and Epidemiology Regarding Lead Poisoning
   US Code: 42 USC 300u-11 Name of Law: Prevention and Public Health Fund
   PL: Pub.L. 114 - 322 2204 Name of Law: 2016 Water Infrastruction Improvements for the Nation Act - Other Lead Programs
  

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 51841	11/08/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12765	03/23/2018
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables	0920-0931	Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $650,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 03/27/2018

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