Environmental Public Health Tracking Network (Tracking Network)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Performance Measurement Strategy Report	Form and Instruction	New	Available
Website Analytics Form	Form and Instruction	Modified	Available
Tracking Program Grantee Partnership Plan	Form and Instruction	Modified	Available
Communications Plan Form	Form and Instruction	Modified	Available
Public Health Action Report (Existing Awardees) Form	Form and Instruction	Modified	Available
Environmental Public Health Tracking Work Plan Template	Form and Instruction	Modified	Available
Form 0920-1175 Metadata Records	Form and Instruction	Modified	Available
Form 0920-1175 Radon Testing Form	Form and Instruction	Modified	Available
Form 0920-1175 Hospitalizations	Form and Instruction	Modified	Repair queued
Form 0920-1175 Emergency Department Visits	Form and Instruction	Modified	Available
Form 0920-1175 Community Drinking Water Monitoring Form	Form and Instruction	Modified	Available
Form 0920-1175 Childhood Lead Blood Levels Form	Form and Instruction	Modified	Available
Form 0920-1175 Birth Defects Prevalence	Form and Instruction	Modified	Available
Att6_2015_HopkinsPanelFinalReport.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att11_NCDM_RequirmentsDocument_2017.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att10_TrackingBranchDataManagementProcesses.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att9_Tracking_DataSources.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att8_Research Determination_EH17_1702.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att7_CDC_NEPHTN_PIA_FORM.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att3_CDC-RFA-EH17-1702_20170519.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att2_60day_FRN_Tracking 20200210.pdf	Supplementary Document	Uploaded 2020-04-27	Available
Att1_PHSA Section 243&247.docx	Supplementary Document	Uploaded 2020-04-27	Available
1-Trckng Rev SSB 20200410.docx	Supporting Statement B	Uploaded 2020-04-27	Available
1-Trckng Rev SSA 20200410.docx	Supporting Statement A	Uploaded 2020-04-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241554	Performance Measurement Strategy Report	Form and Instruction	New	Performance Measurement Strategy Report
222657	Website Analytics	Form and Instruction	Modified	Website Analytics Form
222656	Tracking Program Grantee Partnership Plan Template Instructions	Form and Instruction	Modified	Tracking Program Grantee Partnership Plan
222654	Communications Plan	Form and Instruction	Modified	Communications Plan Form
222652	Publilc Health Action Report - Existing Awardees	Form and Instruction	Modified	Public Health Action Report (Existing Awardees) Form
222650	Environmental Public Health Tracking Work Plan Template	Form and Instruction	Modified	Environmental Public Health Tracking Work Plan Template
222649	Metadata Records	Form and Instruction	Modified	Metadata Records
222648	Radon Testing	Form and Instruction	Modified	Radon Testing Form
222646	Hospitalizations	Form and Instruction	Modified	Hospitalizations
222533	Emergency Department Visits Form	Form and Instruction	Modified	Emergency Department Visits
222532	Community Drinking Water Monitoring Form	Form and Instruction	Modified	Community Drinking Water Monitoring Form
222531	Childhood Lead Blood Levels Form	Form and Instruction	Modified	Childhood Lead Blood Levels Form
222530	Birth Defects Prevelance Form	Form and Instruction	Modified	Birth Defects Prevalence

ICR Details

OMB Control No: 0920-1175	ICR Reference No: 202004-0920-011
Status: Historical Active	Previous ICR Reference No: 201902-0920-014
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1175
Title: Environmental Public Health Tracking Network (Tracking Network)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/07/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/27/2020
Terms of Clearance: Approved consistent with the understanding that CDC endeavors to more prominently display the data sources, limitations, scope/scale, and recommendations for interpretation of the tracking system (currently available on: https://ephtracking.cdc.gov/showIndicatorPages), and will communicate these limitations in any presentations or dissemination of the Tracking Network data. As the Tracking Network primarily collects certain health information from only 26 funded state and local health departments, and since there may exist variation across the jurisdictions' methods for collecting the information--collected data are not nationally representative. This information is intended to gain insight into issues that are present at the state and local levels, and can be employed to inform regional or multi-state public health actions for those 26 grantees. Additionally, the Tracking Network also includes some national-level data that are relevant to environmental health, which is collected in collaboration with other federal programs.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	628	0	598
Time Burden (Hours)	21,860	0	20,244
Cost Burden (Dollars)	0	0	0

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Abstract: CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This Revision seeks approval for minor changes to both the racking and the program data components of the collection along with an increase in respondents. These changes will cause a slight increase in the burden hours.

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Authorizing Statute(s): US Code: 42 USC 247 Name of Law: Public Health Service Act
  

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:
	85 FR 7558	02/10/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 23362	04/27/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Birth Defects Prevelance Form	0920-1175	Birth Defects Prevalence
Childhood Lead Blood Levels Form	0920-1175	Childhood Lead Blood Levels Form
Communications Plan	none	Communications Plan Form
Community Drinking Water Monitoring Form	0920-1175	Community Drinking Water Monitoring Form
Emergency Department Visits Form	0920-1175	Emergency Department Visits
Environmental Public Health Tracking Work Plan Template	none	Environmental Public Health Tracking Work Plan Template
Hospitalizations	0920-1175	Hospitalizations
Metadata Records	0920-1175	Metadata Records
Performance Measurement Strategy Report	none	Performance Measurement Strategy Report
Publilc Health Action Report - Existing Awardees	none	Public Health Action Report (Existing Awardees) Form
Radon Testing	0920-1175	Radon Testing Form
Tracking Program Grantee Partnership Plan Template Instructions	none	Tracking Program Grantee Partnership Plan
Website Analytics	none	Website Analytics Form

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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	628	598	0	30	0	0
Annual Time Burden (Hours)	21,860	20,244	0	1,616	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden was affected by adding/deleting elements and questions from the instruments and also adding additional respondents.

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Annual Cost to Federal Government: $24,674,006

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.     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? No

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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: 04/27/2020

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