Public Health Emergency Workplace Response System (New)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Contact Tracing Emergency ICR_3.pdf	Supporting Statement A	Uploaded 2020-11-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244693	Public Health Emergency Workplace Response System	Other-Screenshots	New

ICR Details

OMB Control No: 2030-0049	ICR Reference No: 202011-2030-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: EPA/OMS	Agency Tracking No: 2676.01
Title: Public Health Emergency Workplace Response System (New)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/04/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/09/2020
	Date Received in OIRA: 11/30/2020
Terms of Clearance: In accordance with 5 CFR 1320.13, this information collection has been approved for 6 months as an emergency clearance to conduct contract tracing due to the public health emergency, at EPA facilities and sites for non-federal employees or visitors. If the Agency decides to continue use of this collection past the approved emergency clearance time period, it must resubmit an ICR to OMB under the normal PRA clearance process and include responses to any public comments it has received. In addition, prior to using the voluntary contract tracing form, the agency must add the PRA burden statement to the form, along with the OMB control number and expiration date.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	6 Months From Approved
Responses	250	0	0
Time Burden (Hours)	63	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Because of the substantial risk to life, safety, or health of the workforce and the public, EPA requests an emergency approval to collect the necessary information from Federal employees, detailees, interns, volunteers, grantee recipients and contractors that perform work in EPA facilities to implement an effective COVID-19 Contact Tracing program. Each item of information requested is based on CDC and industry best practice for Contact Tracing. This information is necessary to identify individuals in the workforce who are COVID- 19 positive and to notify and trace persons in the workforce who were in close contact with the COVID-19 positive employee. Including contractors, interns, grantees, and volunteers, enables EPA to capture the total workforce and take appropriate action.

Emergency Justfication: Pursuant to section 3507(j) of the Paperwork Reduction Act (PRA) (44 U.S.C. 3501 et seq.), as implemented in the Office of Management and Budget (OMB) regulations at 5 CFR §1320.13, the Environmental Protection Agency (EPA) is hereby requesting emergency processing of an information collection necessary for contact tracing EPA employees, contractors and grantee recipients that perform work in EPA facilities. Following the normal clearance procedures for approval of this information collection during the COVID-19 pandemic response will delay the Agency’s ability implement contract tracing and to adequately protect its workforce. EPA certifies the requirements of 5 CFR 1320.13(a) are met and it is vital for this collection to be implemented immediately, because: (1) this information is necessary to protect EPA’s workforce, (2) public harm is reasonably likely to result if normal clearance procedures are followed, and (3) an unanticipated event has occurred.

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Authorizing Statute(s): None

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

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
Public Health Emergency Workplace Response System

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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	250	0	0	250	0	0
Annual Time Burden (Hours)	63	0	0	63	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: This is a new collection for information necessary for contact tracing EPA employees, contractors and grantee recipients that perform work in EPA facilities.

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Annual Cost to Federal Government: $0

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? Yes

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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: 11/30/2020

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