Blood Lead Surveillance System (BLSS)

Forms and Documents

Document Name	Status
Form 0920-0931 ABLES Aggregate Records Form and Brief Narrative Report Form and Instruction	New
Form 0920-0931 ABLES Case Records Form and Brief Narrative Report Form and Instruction	New
Form 0920-0931 CBLS Variables - FY18 State or Local Health Departments Form and Instruction	New
Form 0920-0931 CBLS Variables - FY17 State or Local Health Departments Form and Instruction	New
Form 0920-0931 CBLS Aggregate Records - FY14/FY17 State or Local Health Departments Form and Instruction	New
Form 0920-0931 CBLS Variables - FY14/FY17 State or Local Health Departments Form and Instruction	New
Form 0920-0931 HHLPSS Variables Form and Instruction	New
Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables Form and Instruction	Removed
Att11 2015 HHLPSS Notice of Action & Terms of Clearance.pdf Supplementary Document	2018-05-15
ABLES website pre-clearance draft.docx Supplementary Document	2018-05-15
Att10 OMBCntrlNoHstry for BLSurvllnce 20180511 clean.DOCX Supplementary Document	2018-05-15
Att9b NIOSH ABLES Research Determination.pdf Supplementary Document	2018-05-15
Att9a NCEH CBLS Research Determination.pdf Supplementary Document	2018-05-15
Att8b ABLES PIA_Determination 2018Apr04.pdf Supplementary Document	2018-05-15
Att8a NCEH CBLS PIA Recert 2016.pdf Supplementary Document	2018-05-15
Att7c ABLES Changes in Data Elements.xlsx Supplementary Document	2018-05-15
Att6d CBLS Differences in Variable Reporting Requirements.xlsx Supplementary Document	2018-05-15
Att5a NCEH CBLS Program Summary & Accomplishments.docx Supplementary Document	2018-05-15
Att4b NCEH NOFO CDC-RFA-EH14-1408.pdf Supplementary Document	2018-05-15
Att4a NCEH NOFO CDC-RFA-EH17-1701.pdf Supplementary Document	2018-05-15
Att3 NIOSH ABLES Inclusion History in NCEH ICRs.xlsx Supplementary Document	2018-05-15
Att2a 60-dyFRN CBLS-ABLES new ICR.pdf Supplementary Document	2018-05-15
Att1b NIOSH Authority.pdf Supplementary Document	2018-05-15
Att1a NCEH Authority (combined).pdf Supplementary Document	2018-05-15
BLSS_SSB_FINAL 15MAY2018.DOCX Supporting Statement B	2018-05-15
BLSS_SSA_FINAL 15MAY2018.docx Supporting Statement A	2018-05-15

IC Document Collections

IC ID	Document Title	Status
231454	ABLES Aggregate Records Form and Brief Narrative Report Form and Instruction	New
231453	ABLES Case Records Form and Brief Narrative Report Form and Instruction	New
231451	CBLS Variables - FY18 State or Local Health Departments Form and Instruction	New
231450	CBLS Variables - FY17 State or Local Health Departments Form and Instruction	New
231449	CBLS Aggregate Records - FY14/FY17 State or Local Health Departments Form and Instruction	New
231448	CBLS Variables - FY14/FY17 State or Local Health Departments Form and Instruction	New
231447	HHLPSS Variables Form and Instruction	New
215085	Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables Form and Instruction	Removed

ICR Details

OMB Control No: 0920-0931	ICR Reference No: 201805-0920-004
Status: Historical Active	Previous ICR Reference No: 201502-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0931
Title: Blood Lead Surveillance System (BLSS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/15/2018
	Date Received in OIRA: 05/15/2018
Terms of Clearance: Within two months of the approval of this ICR, CDC will submit a non-substantive change request confirming updates to the public-facing website reflecting the new language as indicated in the supplementary document associated with this package. Approved consistent with CDC’s commitment to always communicate that these data do not provide for nationally representative prevalence estimates, due to the fact that not all states participate in CBLS and ABLS, as well as differences in jurisdictional screening practices and laboratory reporting requirements among state and local jurisdictions. However, use of the consistent case definition allows for estimating needs at the Federal, state, and local level which is important for establishing national program goals and objectives. In addition, CDC commits to working with CMS to better capture Medicaid-required test results and decrease duplicative requirements on States.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	05/31/2018
Responses	409	0	160
Time Burden (Hours)	1,226	0	640
Cost Burden (Dollars)	0	0	15,000

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Abstract: The Healthy Homes Lead Poisoning Surveillance System (HHLPSS) builds upon previous efforts by the National Blood Lead Surveillance System (NBLSS) to characterize the home environment in terms of not only lead poisoning risk factors, but also other home-based risk factors. This Revision of 0920-0931 is requested to re-focus the scope of the joint NCEH and NIOSH program collections on blood lead surveillance. This joint ICR includes two data collection systems that provide a coordinated, comprehensive, and systematic public health approach to the surveillance and monitoring of blood lead levels (BLLs) for children < 16 years old and occupationally-exposed adults ≥ 16 years old in the U.S. Revisions to the previously OMB-approved version of 0920-0931 include the following: 1. We request to change the title of the ICR from ‘Healthy Homes and Lead Poisoning Surveillance System (HHLPSS)’ to ‘Blood Lead Surveillance System (BLSS)’ to more explicitly reflect the information collected by the NCEH Childhood Blood Lead Surveillance (CBLS) and the NIOSH Adult Blood Lead Epidemiology and Surveillance (ABLES) Systems. 2. We request to remove the NCEH ‘healthy homes’ variables from the existing HHLPSS ICR, as this data has never been collected at the national level, and to replace the HHLPSS variable list with the updated CBLS variable list. 3. We request to add specific ABLES data fields to the Healthy Homes and Lead Poisoning Software System (HHLPSS) that is used by many state and local agencies to collect and manage blood lead surveillance data. 4. We request to add 20 new CBLS respondents, over the 40 that were previously approved, due to the addition of newly-funded programs in FY17 and FY18. 5. We request to add 12 new ABLES respondents, over the 28 that were previously approved, due to the additional interest expressed by states for voluntary reporting. 6. We request to increase the annual time burden from 640 hours to 1,226 hours to account mainly for the increase in the number of respondents and for additional adjustments to the estimation. This is an increase of 586 annual burden hours. 7. We are working to integrate the information technology (IT) systems Childhood Blood Lead Surveillance (CBLS) and Adult Blood Lead Epidemiology and Surveillance (ABLES).

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and investigations generally
   PL: Pub.L. 111 - 148 4002 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 114 - 322 2204 Name of Law: Water Infrastructure Improvements for the Nation (WIIN) Act
   PL: Pub.L. 91 - 596 20 Name of Law: 1970 Occupational Safety and Health Act
  

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:
	82 FR 16839	04/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 52047	11/09/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
HHLPSS Variables	0920-0931	HHLPSS Variables
CBLS Variables - FY14/FY17 State or Local Health Departments	0920-0931	CBLS Variables - Text Files
Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables	None	Healthy Homes and Lead Poisoning Prevention Surveillance System (HHLPPSS) Variables
CBLS Aggregate Records - FY14/FY17 State or Local Health Departments	0920-0931	CBLS Aggregate Records - Excel
CBLS Variables - FY17 State or Local Health Departments	0920-0931	CBLS Variables - Text Files
CBLS Variables - FY18 State or Local Health Departments	0920-0931	CBLS Variables - Text Files
ABLES Case Records Form and Brief Narrative Report	0920-0931	ABLES Case Records Form and Brief Narrative Report
ABLES Aggregate Records Form and Brief Narrative Report	0920-0931	ABLES Aggregate Records Form and Brief Narrative Report

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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	409	160	0	249	0	0
Annual Time Burden (Hours)	1,226	640	0	586	0	0
Annual Cost Burden (Dollars)	0	15,000	0	-15,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: Revision of 0920-0931 serves to combine efforts from NCEH and NIOSH into the ICR Blood Lead Level Surveillance. It results in an increase in 586 Burden Hours

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Annual Cost to Federal Government: $7,780,833

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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: 05/15/2018

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