OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Factors Influencing Children's Potential Exposures to Indoor Contaminants

ICR 201508-0920-005 · OMB 0920-1107 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Household Inventory Form New Available
Questionnaire about Index Child Form New Repair queued
Questionnaire about Sibling of Index Child Form New Available
Participant Instruction and Record Book Form and Instruction New Repair queued
AppndxG Assent Form 20151223.doc Supplementary Document Uploaded 2016-03-16 Repair queued
AppndxE Flow chart recruitment sample collection.docx Supplementary Document Uploaded 2016-03-16 Available
AppndxH IRB Approval Letters 20160226.docx Supplementary Document Uploaded 2016-03-16 Available
AppndxF Consent Form 20151223.docx Supplementary Document Uploaded 2016-03-16 Available
AppndxC Research Protocol.docx Supplementary Document Uploaded 2016-03-16 Available
Appendix B (60 day FRN GHS).pdf Supplementary Document Uploaded 2015-08-17 Available
APPENDIX A (Authorizing Legislation and Other Relevant Laws).doc Supplementary Document Uploaded 2015-08-17 Available
SSB GHS Add-on 20160304.docx Supporting Statement B Uploaded 2016-03-16 Available
SSA GHS Add-on 20160304.docx Supporting Statement A Uploaded 2016-03-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
220647 Household Inventory Form New
220646 Questionnaire about Index Child Form New
220645 Questionnaire about Sibling of Index Child Form New
220644 Preparation and Collection of Data other than Biospecimens Instruction New
220643 Biospecimen Collection from Children Instruction New
220642 Participant Instruction and Record Book Form and Instruction New
ICR Details
0920-1107 201508-0920-005
Historical Active
HHS/CDC 15AFJ
Factors Influencing Children's Potential Exposures to Indoor Contaminants
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/18/2016
Retrieve Notice of Action (NOA) 08/21/2015
Approved consistent with the understanding that the purpose of this data collection is methodological. The parameters of study’s sample design (i.e., convenience sampling and small sample size), do not permit generalizations about differences in the presence of allergens, toxic substances, or biomarkers between “green”-built and “non-green” standard built low income housing. As discussed the supporting materials for OMB Control No: 0920-0906, the full Green Housing Study clearance, all 13 sites (325 subjects/study arm) are necessary to provide adequate statistical power for comparisons of environmental measurements in green vs. non green housing.
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved
528 0 0
454 0 0
0 0 0
This study will apply novel approaches to study exposures to various indoor pollutants for children. Data will be used to characterize personal, housing, and community factors influencing children's potential exposures to indoor contaminants at different life stages. Methods include a time- activity questionnaire and accelerometer, environmental samples, and biological samples and clinical measurements.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  80 FR 26055 05/06/2015
80 FR 49236 08/17/2015
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 528 0 0 528 0 0
Annual Time Burden (Hours) 454 0 0 454 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
ICR has been reworked per OMB instructions, resulting in a burden increase and additional ICs. This is a new ICR.
$476,333
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
08/21/2015