Assessment of Environmental Health and Land Reuse Certification Training

Forms and Documents

Document Name	Status
Follow-Up Survey Form and Instruction	New
Att3b-FUPlSrvyRmndr.docx Supplementary Document	2019-03-22
Att3a FUPSuvyInvt.docx Supplementary Document	2019-03-22
Att5 Prtl 7175 CDC IRB approval.docx Supplementary Document	2019-03-22
Att6 PIA Env LandReuseCrt.pdf Supplementary Document	2019-03-22
Att 2 60-day FRN EnvLndRse.pdf Supplementary Document	2019-03-22
Att 1 AuthLegisl-Cmbnd.docx Supplementary Document	2019-03-22
SSB AssEnvLandRCrt- TC.docx Supporting Statement B	2019-03-22
SSA AssEnvLandRCrt-TC.docx Supporting Statement A	2019-03-22

IC Document Collections

IC ID	Document Title	Status
235453	Follow-Up Survey Form and Instruction	New

ICR Details

OMB Control No: 0923-0060	ICR Reference No: 201903-0923-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-18AJA
Title: Assessment of Environmental Health and Land Reuse Certification Training
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 without change	Conclusion Date: 08/14/2019
	Date Received in OIRA: 04/10/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time ATSDR will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action. When communicating findings from this collection, all publications will clearly describe the scope and limitations of the study findings.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved
Responses	200	0	0
Time Burden (Hours)	67	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Agency for Toxic Substances and Disease Registry (ATSDR) and the National Environmental Health Association (NEHA) are co-producing an online Environmental Health and Land Reuse Certificate program. The goal of the information collection is to collect participant feedback on the environmental health land reuse certificate course content developed by ATSDR and its collaborator. Resulting data will be used to assess the impact of participating in the certificate course, such as increased capacity to perform their work. ATSDR is interested in long term benefits of the certificate course, such as state health partners engaging more frequently in land reuse and redevelopment projects.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 30178	06/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 12607	04/02/2019
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Follow-Up Survey	NA	Follow up to the Land Reuse Certificate - Screenshot

---

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	200	0	0	200	0	0
Annual Time Burden (Hours)	67	0	0	67	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: Submission of 0920-18AJA - Assessment of Environmental Health and Land Reuse Certification Training is a New ICR that requests 67 annual estimated Burden Hours.

---

Annual Cost to Federal Government: $55,169

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.     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

---

Common Form ICR:  No

---

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: 04/10/2019

---