Approved consistent with the understanding that collections submitted under this generic are not considered research and will not include epidemiological studies or the collection of health data. Each GenIC will include a full supporting statement Part A and B.
Inventory as of this Action
Requested
Previously Approved
03/31/2020
36 Months From Approved
19,500
0
0
6,252
0
0
141,987
0
0
There is no comprehensive knowledge about the locations of private wells, the populations served by these sources, potential contaminants that might be present in private well water in specific areas of the country, or the potential health risks associated with drinking water from these sources. The goal of this generic clearance information collection request (Generic ICR) is to expedite investigations of private well water for drinking in response to specific investigation requests. Each investigation will assess exposure to contaminants in drinking water from private wells in a geographic area specified by the requesting entity. Requesting entities may be any state, territorial, local, or tribal health department in the United States. Methods to collect data include questionnaires and analysis of clinical specimens and/or environmental samples.
US Code:
42 USC 241
Name of Law: U.S. Public Health Service Act
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.
Form 0920-1173 Exposure to Arsenic and Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire
AttJ Example Instructions for Urine and Water 3-17-16 CLEAN.docx
AttJ Research Determination Form 6-1-16.pdf
AttE Example Recruiting Flyer Letter 6-1-16.doc
Exposure to Arsenic and Uranium in Private Well Water in Connecticut, New Mexico, and New Hampshire