Blood Lead Surveillance System (BLSS) - NIOSH

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0931 ABLES Aggregate Records Form	Form and Instruction	Modified	Repair queued
Form 0920-0931 ABLES Case Records Form	Form and Instruction	Modified	Repair queued
Form 0920-0931 CBLS Variables - FY18 State or Local Health Departments	Form and Instruction	Removed	Available
Form 0920-0931 CBLS Variables -Text Files	Form and Instruction	Modified	Repair queued
Form 0920-0931 CBLS Aggregate Records Forms	Form and Instruction	Modified	Repair queued
Form 0920-0931 CBLS Variables - FY14/FY17 State or Local Health Departments	Form and Instruction	Removed	Repair queued
Form 0920-0931 HHLPSS Variables	Form and Instruction	Removed	Available
Att9. OMBCntrlNoHstry BLSurv_20210219.docx	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att8b NIOSH ABLES STARS Determination.docx	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att8a NCEH CBLS STARS Determination.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att7b NIOSH ABLES PIA 20201127.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att7a NCEH CBLS PIA 20180919.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att3d NCEH NOFO EH18-1806 SUPP20.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att3c NCEH NOFO EH17-1701SUPP20.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att3b NCEH NOFO EH18-1806.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att4b ABLES SmmryAccmplsh_20210219.docx	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att4a CBLS SmmryAccmplsh_20210219.docx	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att3a NCEH NOFO EH17-1701PPHF.pdf	Supplementary Document	Uploaded 2021-03-12	Missing upstream
Att2 60-Day FRN_published_2020.pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
Att1b NIOSH Authority.pdf	Supplementary Document	Uploaded 2018-05-15	Repair queued
Att1a NCEH Authority (combined).pdf	Supplementary Document	Uploaded 2021-03-12	Repair queued
1-BLSS_SSB_20210219.docx	Supporting Statement B	Uploaded 2021-03-12	Available
1-BLSS_SSA_20210219.docx	Supporting Statement A	Uploaded 2021-03-12	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231454	ABLES Aggregate Records Form	Form and Instruction	Modified
231453	ABLES Case Records Form	Form and Instruction	Modified
231451	CBLS Variables - FY18 State or Local Health Departments	Form and Instruction	Removed
231450	CBLS Variables -Text Files	Form and Instruction	Modified
231449	CBLS Aggregate Records Forms	Form and Instruction	Modified
231448	CBLS Variables - FY14/FY17 State or Local Health Departments	Form and Instruction	Removed
231447	HHLPSS Variables	Form and Instruction	Removed

ICR Details

OMB Control No: 0920-0931	ICR Reference No: 202103-0920-002
Status: Received in OIRA	Previous ICR Reference No: 201907-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0931
Title: Blood Lead Surveillance System (BLSS) - NIOSH
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/12/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2021
Responses	277	409
Time Burden (Hours)	1,226	1,226
Cost Burden (Dollars)	0	0

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Abstract: This ICR covers 2 information collections, one for childhood blood lead surveillance by NCEH and another for adult blood lead surveillance by NIOSH. This joint ICR includes 2 data collection systems that provide a coordinated, comprehensive, and systematic public health approach to the surveillance and monitoring of blood lead levels (BLLs) for children < 16 years old and for occupationally exposed adults ≥ 16 years old in the U.S. The goal of the NCEH CLPPP is to promote primary prevention of exposure to lead in children, and, as a secondary prevention strategy, to promote blood lead testing and surveillance of BLLs in children to ensure that there is a comprehensive system in place for the identification, referral, case management, and follow-up evaluation of lead-exposed children.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and investigations generally
   PL: Pub.L. 111 - 148 4002 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 114 - 322 2204 Name of Law: Water Infrastructure Improvements for the Nation (WIIN) Act
   PL: Pub.L. 91 - 596 20 Name of Law: 1970 Occupational Safety and Health 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 64474	10/13/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14116	03/12/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
CBLS Aggregate Records Forms	0920-0931	Childhood Blood Lead Surveillance (CBLS) Aggregate Records Forms
CBLS Variables -Text Files	0920-0931	Submission Format for Childhood Blood Lead Surveillance (CBLS) Data Files
ABLES Case Records Form	0920-0931	ABLES Case Records Form
ABLES Aggregate Records Form	0920-0931	ABLES Aggregate Records Form
HHLPSS Variables	0920-0931	HHLPSS Variables
CBLS Variables - FY14/FY17 State or Local Health Departments	0920-0931	CBLS Variables - Text Files
CBLS Variables - FY18 State or Local Health Departments	0920-0931	CBLS Variables - Text Files

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	277	409	0	180	-312	0
Annual Time Burden (Hours)	1,226	1,226	0	720	-720	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: For this joint ICR, NCEH and NIOSH are maintaining the same number of respondents and total annualized time burden as the current ICR: 60(NCEH); 40(NIOSH); 1,226 hours, respectively.

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Annual Cost to Federal Government: $12,717,882

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]? Yes

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: 03/12/2021

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