OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Spectrum of Flavoring Chemical-Related Lung Disease

ICR 201306-0920-011 · OMB 0920-0979 · Historical Active

Forms and Documents
Document
Name
Status
Supporting Statement B
2013-05-31
Supplementary Document
2013-05-31
Supplementary Document
2013-05-31
Supplementary Document
2013-05-31
Supplementary Document
2013-05-31
Supplementary Document
2013-05-31
Supplementary Document
2013-06-24
Supplementary Document
2013-06-24
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-21
Supplementary Document
2013-06-24
Supplementary Document
2013-06-24
Supporting Statement A
2013-05-31
IC Document Collections
IC ID
Document
Title
Status
207502 New
207501 New
207500 New
207499 New
207498 New
207497 New
207496 New
207495 New
ICR Details
0920-0979 201306-0920-011
Historical Active
HHS/CDC 19722
Spectrum of Flavoring Chemical-Related Lung Disease
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/23/2013
Retrieve Notice of Action (NOA) 06/25/2013
Approved consistent with the understanding that the design of this study does not allow for the generalizability of results to populations beyond the study cohort. The study cohort was not designed to be representative of workers in microwave popocorn or flavor manufacturing plants.
  Inventory as of this Action Requested Previously Approved
08/31/2015 24 Months From Approved
548 0 0
105 0 0
0 0 0
The National Institute for Occupational Safety and Health (NIOSH) is conducting a medical survey of flavoring-exposed workers as part of the NORA-funded research project, Spectrum of Flavoring Chemical-Related Lung Disease. The purpose of this project is to characterize the nature of restrictive lung disease occurring in popcorn and flavoring workers. The significance of this work is that past conclusions about emerging lung disease hazards in flavoring-exposed workers can be extended, if necessary, to the full range of conditions that employees, physicians, companies, and regulators must take into account in their efforts to prevent the burden of disease associated with flavorings. Respondents to this survey will be from two populations of workers: those who participated in a previous NIOSH survey at a microwave popcorn plant, and those at a flavoring manufacturing plant that had a high prevalence of restriction. The study will involve a questionnaire, lung function tests, high-resolution computed tomography (HRCT), and blood collection. It is anticipated that it will take approximately no more than 3.5 hours to complete the job and medication history forms, NIOSH testing, and the HRCT. Participants will receive a letter with the results of their own medical testing, and we plan to publish and present overall study results after data collection.
US Code: 42 USC 85a Name of Law: Occupational Safety and Health Investigations of Places of Employment
   PL: Pub.L. 91 - 596 20(a)(1) Name of Law: Occupational Safety and Health Act
  
None
Not associated with rulemaking
  77 FR 68780 11/16/2012
78 FR 33096 06/03/2013
Yes
  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 548 0 0 548 0 0
Annual Time Burden (Hours) 105 0 0 105 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new submission.
$132,053
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Thelma Sims 4046394771
  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.
06/25/2013