Morbidity Study of Former Marines, Dependents, and Employees Potentially Exposed to Contaminated Drinking Water at USMC Base Camp Lejeune

ICR 201202-0923-002

OMB: 0923-0042

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2012-02-23
Supplementary Document
2012-02-23
Supplementary Document
2012-02-23
Supplementary Document
2012-02-23
Justification for No Material/Nonsubstantive Change
2012-02-23
Supplementary Document
2011-04-25
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
Supplementary Document
2011-04-14
IC Document Collections
IC ID
Document
Title
Status
195214 Modified
ICR Details
0923-0042 201202-0923-002
Historical Active 201109-0923-001
HHS/TSDR
Morbidity Study of Former Marines, Dependents, and Employees Potentially Exposed to Contaminated Drinking Water at USMC Base Camp Lejeune
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/14/2012
Retrieve Notice of Action (NOA) 02/29/2012
Previous terms of clearance apply.
  Inventory as of this Action Requested Previously Approved
11/30/2013 11/30/2013 11/30/2013
47,601 0 47,601
35,701 0 35,701
0 0 0

This change request is to modify the process and consent document to include unexpected additional persons registering with the Marine Corps.

PL: Pub.L. 110 - 181 315 Name of Law: National Defense Authorization Act
  
None

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Health Survey none Health Survey

  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 47,601 47,601 0 0 0 0
Annual Time Burden (Hours) 35,701 35,701 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$4,900,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Tony Richardson 404 639-4965 lmr7@cdc.gov

  No

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.
02/29/2012


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