ATSDR Market Survey of Priority Populations

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
7226	ATSDR Market Survey of Priority Populations	Migrated

ICR Details

OMB Control No: 0923-0030	ICR Reference No: 200007-0923-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/TSDR	Agency Tracking No:
Title: ATSDR Market Survey of Priority Populations
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/06/2000
	Date Received in OIRA: 07/14/2000
Terms of Clearance: OMB agrees with ATSDR's assertion that the data and results generated from the surveys in this ICR are not generalizable to the population. In addition, OMB agrees that ATSDR's assertions that "the information collected in this proposed project is for internal management dissemination only" identifies the appropriate audience. Finally, it is our understanding that the information will only be used by ATSDR staff in planning and resource allocation. Should the Agency decide to apply for an extension of this collection, it should submit a report indicating program and resource allocation changes resulting from the information obtained under this collection. Detailed survey methodology (i.e. those areas that the supporting statement indicates will be refined by a contractor) shall be submitted to OMB for inclusion in the docket as soon as it is available, but no later than the distribution phase of the survey. Future collections should contain complete survey design details at the time they are submitted to OMB. Any significant changes from what is currently approved would result in a fundamentally different collection, and thus would not be covered by this approval. Such collection would need to be submitted to OMB for approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2003	12/31/2003
Responses	6,667	0	0
Time Burden (Hours)	2,222	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to evaluate and improve the effectiveness of ATSDR health promotion and intervention products, programs, and services among priority populations. These populations include individuals, health care providers, health department officials, industry representatives and members of community organizations who live within two miles of National Priority Sites (NPL). ATSDR will use the data from this study to assess whether health education interventions are influential determinants in the environmental disease prevention, health promotion and public health practices of individuals...

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ATSDR Market Survey of Priority Populations

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ICR Summary 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	6,667	0	0	6,667	0	0
Annual Time Burden (Hours)	2,222	0	0	2,222	0	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 07/14/2000

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