OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Exposure Assessment and Epidemiological Study of U.S. Workers Exposed to Carbon Nanotubes and Nanofibers

ICR 201303-0920-010 · OMB 0920-0973 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Informed Consent Form New Repair queued
Exposure Assessment Questionnaire Form New Available
Attachment F-rev1.docx Supplementary Document Uploaded 2013-06-07 Repair queued
CNT-protocol-cross-sectional-to-HSRB-final_mod1_02052013.pdf Supplementary Document Uploaded 2013-05-21 Available
SB Supporting Statement B_nanomaterials_toCDC-final.docx Supporting Statement B Uploaded 2013-02-27 Available
AttachmentE-HSRB.pdf Supplementary Document Uploaded 2013-02-27 Available
Attachment B-CNT-60-d-FRN_09-20-2012.pdf Supplementary Document Uploaded 2013-02-27 Available
Attachment A-OSHAct.docx Supplementary Document Uploaded 2013-02-27 Repair queued
Attachment C-2-Exposure factors.docx Supplementary Document Uploaded 2013-02-28 Repair queued
Supporting Statement A_nanomaterials_6 7 13.docx Supporting Statement A Uploaded 2013-06-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
207241 Medical Examination, Biospecimen Collection, and Exposure Monitoring Other-Examination New
206194 Informed Consent Form New
206193 Exposure Assessment Questionnaire Form New
ICR Details
0920-0973 201303-0920-010
Historical Active
HHS/CDC 18981
Exposure Assessment and Epidemiological Study of U.S. Workers Exposed to Carbon Nanotubes and Nanofibers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/10/2013
Retrieve Notice of Action (NOA) 03/18/2013
  Inventory as of this Action Requested Previously Approved
06/30/2016 36 Months From Approved
99 0 0
66 0 0
0 0 0
The proposed research is a cross-sectional study of the small current workforce involved with CNT and CNF in manufacturing and distribution, to be conducted in the following phases: 1) Industrywide exposure assessment study to evaluate worker exposure and further development and refinement of measurement methods for CNT and CNF, and 2) A cross-sectional study relating various metrics of CNT and CNF exposure (namely, the inhalable fraction of elemental carbon mass concentration, the respirable fraction of elemental carbon mass concentration, and size-classified CNT- or CNF-containing structure counts) to measures of early pulmonary or cardiovascular health effects.
US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act
  
None
Not associated with rulemaking
  77 FR 58396 09/20/2012
78 FR 15366 03/11/2013
No
  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 99 0 0 99 0 0
Annual Time Burden (Hours) 66 0 0 66 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection request.
$429,415
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Walker 4046394773
  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.
03/18/2013