Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study

ICR 202001-0923-002

OMB: 0923-0063

Federal Form Document

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Supplementary Document
2020-05-28
Supporting Statement B
2020-05-28
Supporting Statement A
2020-05-28
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2020-05-28
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ICR Details
0923-0063 202001-0923-002
Historical Active 201908-0923-002
HHS/TSDR 0923-19ACF
Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS): A Multi-site Cross-sectional Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/28/2020
Retrieve Notice of Action (NOA) 01/07/2020
We appreciate ATSDR’s agreement to collect whole blood samples in pre-screened vials suitable for trace and heavy metals analyses, and to upload revisions to the package reflecting this agreement through a non-substantive change request.
  Inventory as of this Action Requested Previously Approved
05/31/2023 36 Months From Approved
35,121 0 0
8,149 0 0
233,544 0 0

The main goal of this cross-sectional multi-site PFAS study is to evaluate associations between measured and reconstructed historic serum levels of PFAS including PFOA, PFOS, and PFHxS, and selected health outcomes. ATSDR seeks to enroll at least 8,000 participants (6,000 adults and 2,000 children) from communities exposed to PFAS-contaminated drinking water over the first three years of the five-year cooperative agreement program.

PL: Pub.L. 115 - 32 315(a) Name of Law: John S. McCain National Defense Authorization Act for FY 2019
   PL: Pub.L. 115 - 91 316(a) Name of Law: 2018 National Defense Authorization Act
  
None

Not associated with rulemaking

  84 FR 16857 04/23/2019
84 FR 70544 12/23/2019
Yes

  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 35,121 0 0 35,121 0 0
Annual Time Burden (Hours) 8,149 0 0 8,149 0 0
Annual Cost Burden (Dollars) 233,544 0 0 233,544 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.

$7,379,582
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Renita Macaluso 770 488-6458 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/07/2020


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