Energy Employees Occupational Illness Compensation Program Act Dose Reconstruction Interviews and Forms (EEOICPA)
Reinstatement with change of a previously approved collection
No
Regular
Approved without change
05/14/2025
03/28/2025
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
05/31/2028
36 Months From Approved
7,200
0
0
3,900
0
0
0
0
0
NIOSH is charged with developing reasonable estimates of the radiation doses incurred occupationally by U.S. nuclear weapons workers with cancer that are covered by the Energy Employees Occupational Illness Compensation Program Act of 2000. These radiation dose reconstructions are completed using methods promulgated by HHS under 42 CFR 82. An essential data source for completing the dose reconstructions is the information collected through structured telephone interviews conducted with claimants, who may be energy employees or surviving family members. In some cases, if necessary, co-workers of the employee are interviewed. These individuals may have unique knowledge of work conditions, radiation protection measures, and monitoring practices that are not available from other sources. At the completion of the dose reconstruction process, claimants review the estimated radiation dose, and signify that they have no more relevant information to offer by submitting a conclusion form (OCAS-1). This Extension requests OMB approval for an additional three years. There are no changes to the information collection instruments or burden on respondents.
US Code:
42 USC 7384
Name of Law: EEOICPA
EO: EO 13179 Name/Subject of EO: Providing Compensation to America's Nuclear Weapons Workers
US Code:
2 USC 82.10
Name of Law: Methods for Dose Reconstruction under EEOICPA
PL:
Pub.L. 106 - 398 3624
Name of Law: Energy Employees Occupational Illness Compensation Program Act
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:
(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;
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.
Form 0920-0530 Attachment C CATI form
Attachment E IRB 16Dec2024.docx
Attachment A.3.pdf
Privacy Act Checklist.doc
EEOICPA Dose Reconstruction Introductory Letters & Telephone Interview