NASA TREAT Astronauts Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PLAW-115publ10.pdf	Supplementary Document	Uploaded 2019-05-13	Available
2019-04168 TREAT Act 30day_Vol84_No58_032619C.pdf	Supplementary Document	Uploaded 2019-05-13	Available
2018-27594 TREAT Act 60day_Vol83_No245_122118.pdf	Supplementary Document	Uploaded 2019-05-13	Available
TREAT Astronaut Act Supporting Statement Part B_Final.docx	Supporting Statement B	Uploaded 2019-05-13	Available
TREAT Astronaut Act Supporting Statement Parts A_Final.docx	Supporting Statement A	Uploaded 2019-05-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235920	NASA Treat Astronauts Act	Other-Electronic Medical Record	New

ICR Details

OMB Control No: 2700-0171	ICR Reference No: 201905-2700-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA TREAT Astronauts Act
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: 06/13/2019
	Date Received in OIRA: 05/13/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved
Responses	175	0	0
Time Burden (Hours)	88	0	0
Cost Burden (Dollars)	4,375	0	0

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Abstract: The National Aeronautics and Space Administration’s (NASA) Office of Chief Health and Medical Officer (OCHMO), in conjunction with Johnson Space Center (JSC), Flight Medicine Clinic (FMC) is implementing the National Aeronautics and Space Administration Transition Authorization Act of 2017 the TREAT Astronauts Act, noted in subsection 441. (https://www.congress.gov/115/plaws/publ10/PLAW-115publ10.pdf). Implementation of this act necessitates the collection of information from former astronauts and/ or former payload specialists at the JSC FMC in order to provide treatment. Additionally, the information collected will develop a knowledge base on the effects of spaceflight; and identify any gaps in services that support medical monitoring, diagnosis and treatment of conditions associated with human space flight. The purpose for this information collection is to support the approved TREAT Astronauts Act for former astronauts and/ or former payload specialists. This information is collected with electronic forms built into the Electronic Medical Records (EMR) software in operation at the JSC, FMC.

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Authorizing Statute(s): PL: Pub.L. 115 - 10 442 Name of Law: National Aeronautics and Space Administration Transition Authorization Act of 2017
  

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 245	12/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 58	03/26/2019
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
NASA Treat Astronauts Act

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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	175	0	0	175	0	0
Annual Time Burden (Hours)	88	0	0	88	0	0
Annual Cost Burden (Dollars)	4,375	0	0	4,375	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: This is a new ICR authorized by Public Law 115-10 Sec 442

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Annual Cost to Federal Government: $10,325

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.     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: 05/13/2019

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