Change Request Justification and Crosswalk

January 9, 2020

Change Request for OMB # 0923-0059: Per- or Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs)

Justification/Brief Explanation for the Change Request

This is a non-substantive change request for the communications materials associated with the Pre-and Polyfluoroalkyl Substances Exposure Assessments (PFAS EAs) (#0923-0059; expiration date: June 30, 2022).

Upon approval of package #0923-0059, OMB requested that changes be made to the following communications materials associated with the PFAS Exposure Assessments:

• PFAS: An Overview of the Science and Guidance for Clinicians

• Understanding your PFAS Test Results

Changes to these documents have been made in response to an interagency scientific review coordinated by OMB.

The revised “Understanding your PFAS Test Results” fact sheet will be provided to participants with their individual testing results (Appendices G1 and G2), which have been modified based on changes to the Physician’s Guidance document.

In addition, the revised PFAS Clinician Guidance has been updated on the ATSDR PFAS and CDC Grand Rounds websites per the links below:

• https://www.atsdr.cdc.gov/pfas/info-for-health-professionals.html

• https://www.cdc.gov/grand-rounds/pp/2019/20191119-pfas-health.html

Below is the change request cross-walk table. Attached please find the revised PFAS Clinician Guidance, the “Understanding your PFAS Test Results” fact sheet and the revised biological and environmental results letters with both clean and track-changes clean versions. These documents are part of the communications materials for the PFAS EAs, therefore, the overall number of respondents and requested burden hours remain the same.

Attachment	Requested Change	Justification
PFAS: An Overview of the Science and Guidance for Clinicians	Communication document revised in response to intra-agency review coordinated by OMB. The document has been updated on the ATSDR PFAS and CDC Grand Rounds websites.	OMB requested that updates be made to the existing Clinician Guidance document for PFAS in response to comments resulting from interagency review.
Understanding your PFAS Test Results	Communication document revised in response to intra-agency review coordinated by OMB. The document will be provided to participants with their individual results letters.	OMB requested that updates be made to the existing “Understanding your PFAS Test Results” fact sheet in response to comments resulting from interagency review.
Appendix G1: Results Letter for Biological Sampling	Changes have been made to the biological results letter template to make it consistent with changes made in the Physician’s Guidance.	Changes to the Physician’s Guidance resulted in changes to the biological results letters.
Appendix G2: Results letter for Environmental Sampling	Changes have been made to the environmental results letter template to make it consistent with changes made in the Physician’s Guidance.	Changes to the Physician’s Guidance resulted in changes to the environmental results letters.

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