Download:
docx |
pdf
Attachment
9. OMB Control Number History for Blood Lead Surveillance
OMB
Control Number History
Blood
Lead Surveillance System (BLSS) (formerly known as ‘The Healthy
Homes and Lead Poisoning Prevention Surveillance System (HHLPSS)’)
OMB
Control Number: 0920-0931
ICR
Ref. No.
|
Request
Type
|
Date
Received By OIRA
|
Conclusion
Date
|
Conclusion
Action
|
|
|
|
|
|
|
|
|
|
|
pending
|
Extension
of a currently approved collection
(ICR
Name: Blood Lead Surveillance System [BLSS])
|
pending
|
pending
|
pending
|
|
|
|
|
|
|
|
|
Type
of Respondents
|
Form
Name
|
No.
of
Respondents
|
No.
of
Responses
per Respondent
|
Average
Burden per Response
(in hours)
|
Total
Burden Hours
|
State
or Local Health Departments, or their Bona Fide Agents
|
CBLS
Variables (ASCII Text Files)
|
59
|
4
|
4
|
944
|
CBLS
Aggregate Records Form (Excel)
|
1
|
1
|
2
|
2
|
ABLES
Case Records Form and Brief Narrative Report
|
32
|
1
|
8
|
256
|
ABLES
Aggregate Records Form and Brief Narrative Report
|
8
|
1
|
3
|
24
|
Total
|
|
1,226
|
|
ICs:
HHLPSS
Variables ;
CBLS
Variables - FY14/FY17 State or Local Health Departments; CBLS
Aggregate Records - FY14/FY17 State or Local Health Departments;
CBLS Variables - FY17 State or Local Health Departments; CBLS
Variables - FY18 State or Local Health Departments; ABLES Case
Records Form and Brief Narrative Report; ABLES Aggregate Records
Form and Brief Narrative Report
|
201907-0920-003
|
No
material or non-substantive change to a currently approved
collection
Change
Request_OMB Control Number 0920-0931 (race) 06202019.docx
|
07/03/2019
|
07/10/2019
|
Approved
without change
Exp.
Date 05/31/2021
|
201805-0920-006
|
No
material or non-substantive change to a currently approved
collection
Request
for Change 0920-0931.docx
|
05/22/2018
|
05/31/2018
|
Approved
without change
Exp.
Date 05/31/2021
|
201805-0920-004
|
Revision
of a currently approved collection
(ICR
Name Change to Blood Lead Surveillance System [BLSS])
|
05/15/2018
|
05/15/2018
|
Approved
with change
Exp.
Date 05/31/2021
|
Terms
of Clearance: Within two months of the approval of this ICR,
CDC will submit a non-substantive change request confirming
updates to the public-facing website reflecting the new
language as indicated in the supplementary document associated
with this package.
Approved
consistent with CDC’s commitment to always communicate
that these data do not provide for nationally representative
prevalence estimates, due to the fact that not all states
participate in CBLS and ABLS, as well as differences in
jurisdictional screening practices and laboratory reporting
requirements among state and local jurisdictions. However, use
of the consistent case definition allows for estimating needs
at the Federal, state, and local level which is important for
establishing national program goals and objectives. In
addition, CDC commits to working with CMS to better capture
Medicaid-required test results and decrease duplicative
requirements on States.
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
05/31/2021
|
36
Months From Approved
|
05/31/2018
|
Responses
|
409
|
0
|
160
|
Time
Burden (Hours)
|
1,226
|
0
|
640
|
Cost
Burden (Dollars)
|
0
|
0
|
15,000
|
|
Estimated
Annualized Burden Hours (Year 1)
|
Data
Collection
|
Type
of Respondents
|
Form
Name*
|
No.
of
Respondents
|
No.
of
Responses
per Respondent
|
Average
Burden per Response
(in hours)
|
Total
Burden Hours
|
CBLS
|
FY14/FY17
State or Local Health Departments, or their Bona Fide Agents
|
HHLPSS
Variables
|
33
|
4
|
1
|
132
|
CBLS
Variables (ASCii Text Files)
|
33
|
4
|
3
|
396
|
CBLS
Aggregate Records (Excel)
|
1
|
1
|
2
|
2
|
Solely
FY17 State or Local Health Departments, or their Bona Fide
Agents
|
CBLS
Variables (ASCii Text Files)
|
14
|
4
|
4
|
224
|
Solely
FY18 State or Local Health Departments, or their Bona Fide
Agents
|
CBLS
Variables (ASCii Text Files)
|
12
|
4
|
4
|
192
|
ABLES
|
State
or Local Health Departments, or their Bona Fide Agents
|
ABLES
Case Records Form and Brief Narrative Report
|
32
|
1
|
8
|
256
|
ABLES
Aggregate Records Form and Brief Narrative Report
|
8
|
1
|
3
|
24
|
Total
|
|
1,226
|
|
|
Estimated
Annualized Burden Hours (Year 2&3)
|
Data
Collection
|
Type
of Respondents
|
Form
Name*
|
No.
of
Respondents
|
No.
of
Responses
per Respondent
|
Average
Burden per Response
(in hours)
|
Total
Burden Hours
|
CBLS
|
All
FY17 and FY18 State or Local Health Departments, or their
Bona Fide Agents*
|
CBLS
Variables (ASCii Text Files)
|
59
|
4
|
4
|
944
|
CBLS
Aggregate Records (Excel)
|
1
|
1
|
2
|
2
|
ABLES
|
State
or Local Health Departments, or their Bona Fide Agents
|
ABLES
Case Records Form and Brief Narrative Report
|
32
|
1
|
8
|
256
|
ABLES
Aggregate Records Form and Brief Narrative Report
|
8
|
1
|
3
|
24
|
Total
|
|
1,226
|
|
ICs:
HHLPSS
Variables ;
CBLS
Variables - FY14/FY17 State or Local Health Departments; CBLS
Aggregate Records - FY14/FY17 State or Local Health Departments;
CBLS Variables - FY17 State or Local Health Departments; CBLS
Variables - FY18 State or Local Health Departments; ABLES Case
Records Form and Brief Narrative Report; ABLES Aggregate Records
Form and Brief Narrative Report
|
201802-0920-006
|
Extension
without change of a currently approved collection
(ICR
Name: The Healthy Homes and Lead Poisoning Prevention
Surveillance System [HHLPSS])
|
03/27/2018
|
05/14/2018
|
Withdrawn
and continue
|
Terms
of Clearance: CDC will withdraw and resubmit as a revision
request.
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
05/31/2018
|
18
Months From Approved
|
05/31/2018
|
Responses
|
160
|
0
|
160
|
Time
Burden (Hours)
|
640
|
0
|
640
|
Cost
Burden (Dollars)
|
15,000
|
0
|
15,000
|
|
IC:
pending
|
201502-0920-012
|
Extension
without change of a currently approved collection
(ICR
Name: The Healthy Homes and Lead Poisoning Prevention
Surveillance System [HHLPSS])
|
02/26/2015
|
05/20/2015
|
Approved
without change
Exp.
Date 05/31/2018
|
|
Terms
of Clearance: Clearance is provided contingent on CDC advising
its grantees/contractors of the change in wording of the
race/ethnicity and asthma questions that were made during
clearance. Dissemination of the aggregate data set and
statistics generated from the aggregate data set will always
be accompanied by the following caveats: These data were
collected for program management purposes. The data are not
generalizable at the national, state, or local level.
Furthermore, because inclusion criteria vary across grantees,
comparisons of aggregate statistics across programs can be
misleading (i.e., state policies and practices for blood lead
testing vary and local priorities drive decisions regarding
which homes receive assessments for other housing hazards).
However, descriptive statistics can be used to compare changes
overtime in a given area when the method by which housing
units are chosen for inclusion remains the same. With a
thoughtful understanding of the approach used to include
housing units in a given location, HHLPPS can be used to make
associations between the number of individuals in a given area
and a specific housing hazard or health condition and
geographic descriptors such as poverty, age of housing,
tenancy, and health conditions."
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
05/31/2018
|
36
Months From Approved
|
05/31/2015
|
Responses
|
160
|
160
|
160
|
Time
Burden (Hours)
|
640
|
640
|
640
|
Cost
Burden (Dollars)
|
15,000
|
15,000
|
0
|
|
Estimated
Annualized Burden Hours
|
Type
of Respondents
|
Form
Name
|
No.
of
Respondents
|
No.
of
Responses
per Respondent
|
Average
Burden per Response
(in hours)
|
Total
Burden
(in hours)
|
State,
local, and territorial Health Departments
|
Healthy
Homes and Lead Poisoning Surveillance Variables
|
40
|
4
|
4
|
640
|
Total
|
640
|
|
IC:
Healthy
Homes and Lead Poisoning Surveillance Variables
https://www.reginfo.gov/public/do/DownloadDocument?objectID=53666501
(NIOSH
variables combined in Table 7 of HHLPSS Form)
|
201111-0920-005
|
New
collection (Request for a new OMB Control Number)
(ICR
Name: The Healthy Homes and Lead Poisoning Prevention
Surveillance System [HHLPSS])
|
11/22/2011
|
04/23/2012
|
Approved
with change
Exp.
Date 04/30/2015
|
|
Terms
of Clearance: Clearance is provided contingent on CDC advising
its grantees/contractors of the change in wording of the
race/ethnicity and asthma questions that were made during
clearance. Dissemination of the aggregate data set and
statistics generated from the aggregate data set will always
be accompanied by the following caveats: These data were
collected for program management purposes. The data are not
generalizable at the national, state, or local level.
Furthermore, because inclusion criteria vary across grantees,
comparisons of aggregate statistics across programs can be
misleading (i.e., state policies and practices for blood lead
testing vary and local priorities drive decisions regarding
which homes receive assessments for other housing hazards).
However, descriptive statistics can be used to compare changes
overtime in a given area when the method by which housing
units are chosen for inclusion remains the same. With a
thoughtful understanding of the approach used to include
housing units in a given location, HHLPPS can be used to make
associations between the number of individuals in a given area
and a specific housing hazard or health condition and
geographic descriptors such as poverty, age of housing,
tenancy, and health conditions."
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
04/30/2015
|
36
Months From Approved
|
|
Responses
|
160
|
160
|
0
|
Time
Burden (Hours)
|
640
|
640
|
0
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
Estimated
Annualized Burden Hours
|
Type
of Respondents
|
Form
Name
|
No.
of
Respondents
|
No.
of
Responses
per Respondent
|
Average
Burden per Response
(in hours)
|
Total
Burden
(in hours)
|
State,
local, and territorial Health Departments
|
Healthy
Homes and Lead Poisoning Surveillance Variables
|
40
|
4
|
4
|
640
|
Total
|
640
|
|
IC:
Healthy
Homes and Lead Poisoning Surveillance Variables
https://www.reginfo.gov/public/do/DownloadDocument?objectID=31823701
(NIOSH
variables combined in Table 7 of HHLPSS Form)
|
OMB
Control Number History
National
Blood Lead Surveillance
OMB
Control Number:0920-0337
ICR
Ref. No.
|
Request
Type
|
Date
Received By OIRA
|
Conclusion
Date
|
Conclusion
Action
|
200805-0920-008
|
Discontinue
|
04/26/2012
|
04/27/2012
|
Approved
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
01/31/2012
|
36
Months From Approved
|
01/31/2009
|
Responses
|
328
|
328
|
336
|
Time
Burden (Hours)
|
656
|
656
|
672
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
State
and Local Health
Department Surveillance for Childhood National Blood Lead
Surveillance System
https://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=200805-0920-008&icID=6764
IC:
State
and Local Health
Department Surveillance for Adult National Blood Lead
Surveillance System
https://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=200805-0920-008&icID=184878
|
200805-0920-008
|
Emergency
extension
|
01/31/2012
|
01/31/2012
|
Approved
Exp.
Date 01/31/2012
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
01/31/2012
|
36
Months From Approved
|
01/31/2009
|
Responses
|
328
|
328
|
336
|
Time
Burden (Hours)
|
656
|
656
|
672
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
State
and Local Health
Department Surveillance for Childhood National Blood Lead
Surveillance System
IC:
State
and Local Health
Department Surveillance for Adult National Blood Lead
Surveillance System
|
200805-0920-008
|
Revision
of a currently approved collection
|
05/13/2008
|
01/08/2009
|
Approved
without change
Exp.
Date 01/31/2009
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
01/31/2012
|
36
Months From Approved
|
01/31/2009
|
Responses
|
328
|
328
|
336
|
Time
Burden (Hours)
|
656
|
656
|
672
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
|
Estimated Annualized Burden Hours
|
Type of
Respondents
|
Number of
Respondents
|
No. Responses per Respondent
|
Average Burden per
Response
(in hours)
|
Total Annual
Burden
(in hours)
|
State and Local Health Departments for Child Surveillance
|
42
|
4
|
2
|
336
|
State and Local Health Departments for Adult Surveillance
|
40
|
4
|
2
|
320
|
TOTAL
|
|
|
|
656
|
|
IC:
State
and Local Health
Department Surveillance for Childhood National Blood Lead
Surveillance System
https://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=200805-0920-008&icID=6764
IC:
State
and Local Health
Department Surveillance for Adult National Blood Lead
Surveillance System
https://www.reginfo.gov/public/do/PRAViewIC?ref_nbr=200805-0920-008&icID=184878
|
200501-0920-002
|
Reinstatement
with change of a previously approved collection
|
01/28/2005
|
05/06/2005
|
Approved
without change
Exp.
Date 05/31/2005
|
|
Terms
of Clearance: Approved consistent with the following terms of
clearance: prior collection of information under the ABLES
program constituted a violation of the Paperwork Reduction Act
(PRA) and shall be reported in the 2006 ICB. CDC is reminded
that collections of information subject to the PRA must
receive approval from OMB prior to fielding.
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
05/31/2008
|
05/31/2008
|
|
Responses
|
336
|
336
|
0
|
Time
Burden (Hours)
|
672
|
672
|
0
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
National
Blood
Lead Surveillance System
|
200104-0920-006
|
Emergency
extension
|
09/30/2004
|
09/30/2004
|
Approved
|
|
Terms
of Clearance: Approved consistent with clarification in CDC
memo of 6-1-01.
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
06/30/2004
|
06/30/2004
|
06/30/2001
|
Responses
|
188
|
188
|
148
|
Time
Burden (Hours)
|
600
|
600
|
456
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
National
Childhood
Blood Lead Surveillance System
|
200104-0920-006
|
Emergency
extension
|
06/18/2004
|
06/18/2004
|
Approved
|
|
Terms
of Clearance: Approved consistent with clarification in CDC memo
of 6-1-01.
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
06/30/2004
|
06/30/2004
|
06/30/2001
|
Responses
|
188
|
188
|
148
|
Time
Burden (Hours)
|
600
|
600
|
456
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
National
Childhood
Blood Lead Surveillance System
|
200104-0920-006
|
Extension
without change of a currently approved collection
|
04/13/2001
|
06/08/2001
|
Approved
without change
Exp.
Date 06/30/2001
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
06/30/2004
|
06/30/2004
|
06/30/2001
|
Responses
|
188
|
188
|
148
|
Time
Burden (Hours)
|
600
|
600
|
456
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
Terms
of Clearance: Approved consistent with clarification in CDC memo
of 6-1-01.
|
IC:
National
Childhood
Blood Lead Surveillance System
|
199801-0920-002
|
Emergency
extension
|
03/29/2001
|
03/29/2001
|
Approved
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
03/31/2001
|
03/31/2001
|
|
Responses
|
148
|
148
|
0
|
Time
Burden (Hours)
|
456
|
456
|
0
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
Childhood
Blood Lead Surveillance System
|
199801-0920-002
|
Reinstatement
with change of a previously approved collection
|
01/09/1998
|
03/02/1998
|
Approved
without change
Exp.
Date 03/02/1998
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
03/31/2001
|
03/31/2001
|
|
Responses
|
148
|
148
|
0
|
Time
Burden (Hours)
|
456
|
456
|
0
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
Childhood
Blood Lead Surveillance System
|
199310-0920-003
|
New
collection (Request for a new OMB Control Number)
|
10/25/1993
|
01/18/1994
|
Approved
without change
Exp.
Date 01/31/1994
|
|
|
Inventory
as of this Action
|
Requested
|
Previously
Approved
|
Expiration
Date
|
01/31/1997
|
01/31/1997
|
|
Responses
|
60
|
60
|
0
|
Time
Burden (Hours)
|
132
|
132
|
0
|
Cost
Burden (Dollars)
|
0
|
0
|
0
|
|
IC:
National
Childhood
Blood Lead Surveillance System
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Stephanie Davis |
| File Modified | 0000-00-00 |
| File Created | 2021-03-15 |