[ATSDR] Assessment of Environmental Health and Land Reuse Certification Training

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0923-0060 EHLR Immersion Risk Communication Module Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 EHLR Immersion Risk Communication Module3 Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 EHLR Immersion Community Engagement Module Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 EHLR Immersion Community Engagement Module1_Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 Mod 05 EHLR Basic Measuring Success Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 Mod 05 EHLR Basic Measuring Success Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 Mod02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 Mod 02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment	Form and Instruction	New	Available
Form 0923-0060 Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment	Form and Instruction	New	Repair queued
Form 0923-0060 EHLR Privacy Act Opt Out Form	Form and Instruction	New	Repair queued
Form 0923-0060 EHLR Privacy Act Opt Out Form	Form and Instruction	New	Repair queued
Form 0923-0060 EHLR Training Registration	Form and Instruction	Modified	Available
Form 0923-0060 EHLR Training Registration	Form and Instruction	Modified	Repair queued
Att7- Research Re-determination IRB Closure Memo.pdf	Supplementary Document	Uploaded 2023-07-21	Repair queued
Att6-EHLR-PIA-03212023-approved RSTw-Chg.pdf	Supplementary Document	Uploaded 2023-07-21	Repair queued
Att 2 60-day FRN EnvLndRse.pdf	Supplementary Document	Uploaded 2019-03-22	Repair queued
Att 1 AuthLegisl-Cmbnd.docx	Supplementary Document	Uploaded 2019-03-22	Available
1 - EHLR SSB RSTw-Chg 07192023.docx	Supporting Statement B	Uploaded 2023-08-09	Repair queued
1 - EHLR SS-A-RSTw-Chg 07192023.docx	Supporting Statement A	Uploaded 2023-08-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261516	EHLR Immersion Risk Communication Module3 Knowledge Assessment	Form and Instruction	New	EHLR Immersion Risk Communication Module Knowledge Assessment
261516	EHLR Immersion Risk Communication Module3 Knowledge Assessment	Form and Instruction	New
261515	EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment
261515	EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New
261514	EHLR Immersion Community Engagement Module1_Knowledge Assessment	Form and Instruction	New	EHLR Immersion Community Engagement Module Knowledge Assessment
261514	EHLR Immersion Community Engagement Module1_Knowledge Assessment	Form and Instruction	New
261513	Mod 05 EHLR Basic Measuring Success Knowledge Assessment	Form and Instruction	New	Mod 05 EHLR Basic Measuring Success Knowledge Assessment
261513	Mod 05 EHLR Basic Measuring Success Knowledge Assessment	Form and Instruction	New
261512	Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment	Form and Instruction	New	Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment
261512	Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment	Form and Instruction	New
261511	Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment
261511	Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New
261510	Mod 02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New	Mod02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment
261510	Mod 02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment	Form and Instruction	New
261509	Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment	Form and Instruction	New	Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment
261509	Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment	Form and Instruction	New
261508	EHLR Privacy Act Opt Out Form	Form and Instruction	New	EHLR Privacy Act Opt Out Form
261508	EHLR Privacy Act Opt Out Form	Form and Instruction	New
235453	EHLR Training Registration	Form and Instruction	Modified	EHLR Training Registration
235453	EHLR Training Registration	Form and Instruction	Modified

ICR Details

OMB Control No: 0923-0060	ICR Reference No: 202307-0923-001
Status: Historical Active	Previous ICR Reference No: 201903-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-0060
Title: [ATSDR] Assessment of Environmental Health and Land Reuse Certification Training
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/21/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/14/2023
Terms of Clearance: Previous terms continue: OMB is approving this information collection request for a period of three years during which time ATSDR will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action. When communicating findings from this collection, all publications will clearly describe the scope and limitations of the study findings.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved
Responses	1,111	0	0
Time Burden (Hours)	145	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of the information collection is to collect participant training information such as classroom and conference registrations and self-assessments related to ATSDR's environmental health and land reuse course content. ATSDR will assess the effectiveness of the training for improving capacity of participants to perform work in the arena of land reuse.

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Authorizing Statute(s): US Code: 42 USC 9601 Name of Law: Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA)
   US Code: 42 USC 116 Name of Law: Superfund Amendments and Reauthorization Act of 1986
  

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:
	88 FR 20890	04/07/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 52160	08/07/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
EHLR Immersion Community Engagement Module1_Knowledge Assessment	0923-0060	EHLR Immersion Community Engagement Module Knowledge Assessment
EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment	0923-0060	EHLR Immersion Module2 Evaluating Environmental and Health Risks Knowledge Assessment
EHLR Immersion Risk Communication Module3 Knowledge Assessment	0923-0060	EHLR Immersion Risk Communication Module Knowledge Assessment
EHLR Privacy Act Opt Out Form	0923-0060	EHLR Privacy Act Opt Out Form
EHLR Training Registration	0923-0060	EHLR Training Registration
Mod 02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment	0923-0060	Mod02 EHLR Basic: Evaluating Environmental and Health Risks Knowledge Assessment
Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment	0923-0060	Mod 03 EHLR Basic Communicating Environmental and Health Risks Knowledge Assessment
Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment	0923-0060	Mod 04 EHLR Basic Redesign with Health in Mind Knowledge Assessment
Mod 05 EHLR Basic Measuring Success Knowledge Assessment	0923-0060	Mod 05 EHLR Basic Measuring Success Knowledge Assessment
Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment	0923-0060	Mod01-EHLR Basic Engaging with Your Community Knowledge Assessment

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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	1,111	0	0	-64	975	200
Annual Time Burden (Hours)	145	0	0	-45	123	67
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: Changing Forms

Short Statement: Previously under this ICR, ATSDR proposed to conduct a one-time collection of feedback (e.g., within 6-12 months after participation) using email information (addresses) of participants. This follow-up survey was designed to evaluate the subsequent use of the certificate program training materials and resources to build capacity and skills in environmental health and land reuse. This effort included an email survey invitation, an email reminder, and the online survey (on Research Electronic Data Capture, REDCap). The follow-up survey was voluntary and estimated to take a maximum of 20 minutes. Under this reinstatement with change ICR, ATSDR proposes the following changes.

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Annual Cost to Federal Government: $116,233

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.     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.     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: 08/14/2023

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