Health Status Evaluation of an Infantry Battalion Following Deployment in Support of Operation Iraqi Freedom (2004-2005)

Forms and Documents

Document Name	Status
Supporting Statement Part A.docx Supporting Statement A	2018-05-30
OPA Approval.pdf Supplementary Document	2018-05-16
Authority-AR 40-5 Preventive Medicine.pdf Supplementary Document	2018-05-16
Deployment Health Surveillance Investigation Report.pdf Supplementary Document	2018-05-16
Project Info.docx Supplementary Document	2018-05-16
Supporting Statement Part B.doc Supporting Statement B	2018-05-16

IC Document Collections

IC ID	Document Title	Status
231467	Health Status Evaluation of an Infantry Battalion Following Deployment iso Operation Iraqi Freedom (2004-2005) Other-Survey	New

ICR Details

OMB Control No:	ICR Reference No: 201805-0702-003
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOD/DOA	Agency Tracking No: 0702-AABB
Title: Health Status Evaluation of an Infantry Battalion Following Deployment in Support of Operation Iraqi Freedom (2004-2005)
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: Improperly submitted	Conclusion Date: 10/17/2018
	Date Received in OIRA: 05/30/2018
Terms of Clearance:

	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 purpose of this initiative is to evaluate the self-reported post-deployment health status of select soldiers who operated in the vicinity of Mosul, Iraq in 2004. The survey data collected will be used to compare the health of US Army personnel after deployment in support of Operation Iraqi Freedom (OIF) to that of a subset of Millennium Cohort Study participants.

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Authorizing Statute(s): EO: EO 12196 Name/Subject of EO: Occupational Safety and Health Programs for Federal Employees
  

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:
	83 FR 10841	03/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 24749	05/30/2018
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
Health Status Evaluation of an Infantry Battalion Following Deployment iso Operation Iraqi Freedom (2004-2005)

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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: This is a new information collection.

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Annual Cost to Federal Government: $349,240

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.     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: 05/30/2018

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