OMB control number

Epidemiologic Study of Health Effects Associated with Low Pressure Events in Drinking Water Distribution Systems

OMB 0920-0960 ยท HHS/CDC.

OMB 0920-0960

This is a request from CDC for a reinstatement with changes of an existing data collection. The purpose of this data collection is to continue to conduct an epidemiologic study in the U.S. (similar to a study conducted in Norway (Nygard, Wahl et al. 2007)) to assess whether individuals exposed to low pressure events in the water distribution system are at an increased risk for acute gastrointestinal or respiratory illnesses. Pursuant to the terms of clearance, a non-substantive change request was required after completion of a pilot study and was approved on 11/12/2014. Pilot study data collection, analysis, and evaluation took longer than expected, and there were delays in implementing data infrastructure and IT updates needed to scale-up the procedures for a multi-site study. To address this, we are asking for a 36 month reinstatement for data collection.

The latest form for Epidemiologic Study of Health Effects Associated with Low Pressure Events in Drinking Water Distribution Systems expires 2022-03-31 and is listed under ICR 201811-0920-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0960 Line Listing Environmental EngineerForm
Form 0920-0960 Line Listings Billing ClerkForm
Form 0920-0960 Low Pressure Event Form - Grab SamplesForm
Form 0920-0960 Low Pressure Event Form - Ultrafilter and Grab SamplesForm
Form 0920-0960 CDC Water and Health Study (paper questionnaire)Form
Form 0920-0960 CDC Water and Health Study (Web-Based Questionnaire)Form
S.Customer Contact.docx Supplementary Document
H.Cover Letter E-mail.msg Supplementary Document
E7. Utility Water Sample Fact Sheet.docx Supplementary Document
E6. Utility Customer Fact Sheet.docx Supplementary Document
E5. Utility Promotional Postcard.pdf Supplementary Document
E4. Utility Social Media Posts.docx Supplementary Document
E3. Utility Newsletter Paragraph.docx Supplementary Document
E2. Utility Radio PSA.docx Supplementary Document
E1. Utility Press Release.docx Supplementary Document
D.Pilot Summary and Evaluation Report.pdf Supplementary Document
P.Final Appeal Letter.docx Supplementary Document
O.Phone script.docx Supplementary Document
K.Survey2 Cover Letter Paper.docx Supplementary Document
J.Thank youReminder Letter.docx Supplementary Document
I.Consent Brochure.pdf Supplementary Document
G.Cover Letter Paper.docx Supplementary Document
F.Advance Letter.docx Supplementary Document
CDC Water and Health Study needs your help .msg Supplementary Document
Q.IRB Approval Continuation.docx Supplementary Document
Attach B 60 day published.pdf Supplementary Document
Supporting Statement B.docxSupporting Statement B
SupSta A.3-26-19 (003).docxSupporting Statement A
C. Pilot Evaluation Log Frame.pdf Supplementary Document
OMB Appendix A Authorizing Legislation 42 CFR 241.pdf Supplementary Document
Line Listing Environmental Engineer Form
Line Listings Billing Clerk Form
Low Pressure Event Form - Grab Samples Form
Low Pressure Event Form - Ultrafilter and Grab Samples Form
CDC Water and Health Study (paper questionnaire) Form
CDC Water and Health Study (Web-Based Questionnaire) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201811-0920-007 Reinstatement with change of a previously approved collection 2019-01-16 Approved with change
201510-0920-007 Extension without change of a currently approved collection 2015-11-19 Approved with change
201409-0920-014 No material or nonsubstantive change to a currently approved collection 2014-10-03 Approved without change
201211-0920-008 New collection (Request for a new OMB Control Number) 2012-11-09 Approved without change

OMB Details

CDC Water and Health Study (Web-Based Questionnaire)

Federal Enterprise Architecture: Health - Illness Prevention

Information collection instruments
FormNameElectronic accessType
Form 0920-0960CDC Water and Health Study (web-based)Fillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.