Camp Lejeune Drinking Water Notification Registry

Forms and Documents

Document Name	Status
0703-0057_Supporting Statement Part A FINAL.doc Supporting Statement A	2016-11-01
Welcome Packet_New Registrant Letter_MajGen Broadmeadow.pdf Supplementary Document	2016-10-28

IC Document Collections

IC ID	Document Title	Status
185160	Camp Lejeune Drinking Water Notification Registry Other-Website Screenshots	Modified

ICR Details

OMB Control No: 0703-0057	ICR Reference No: 201610-0703-002
Status: Historical Active	Previous ICR Reference No: 200805-0703-001
Agency/Subagency: DOD/NAVY	Agency Tracking No:
Title: Camp Lejeune Drinking Water Notification Registry
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/27/2016
	Date Received in OIRA: 11/01/2016
Terms of Clearance: In accordance with 5 CFR 1320, the non-substantive change request is approved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved
Responses	10,000	0	0
Time Burden (Hours)	1,000	0	0
Cost Burden (Dollars)	23,230	0	0

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Abstract: The information collected will be used to obtain information as well as some limited historical data of people who may have been exposed to contaminated drinking water aboard Marine Corps Base Camp Lejeune, NC. The collection is voluntary and will be accomplished through an online registry, or respondents may use a toll-free call line to register over the phone with assistance of a trained representative. The information will be used to notify and provide information related to the historic drinking water issue.

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Authorizing Statute(s): PL: Pub.L. 110 - 181 315 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 61194	10/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 75385	10/31/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Camp Lejeune Drinking Water Notification Registry

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ICR Summary of Burden

	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	10,000	0	0	0	8,400	1,600
Annual Time Burden (Hours)	1,000	0	0	0	830	170
Annual Cost Burden (Dollars)	23,230	0	0	0	23,230	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement, with change, a previously approved collection for which approval has expired. The change in burden is a result of using historic values and results in a better estimate of the number of annual registrants based on the actual number of new registrants each year. Previous burden assessment did not use historic values. The number of respondents was previously estimated at 1,600 respondents, while the annual burden hours were estimated at 170 hours. Current estimates put the number of respondents at 10,000 and the burden hours at 1,000 annually.

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Annual Cost to Federal Government: $1,410,036

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/01/2016

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