83_FR_43851 83 FR 43685 - Proposed Data Collection Submitted for Public Comment and Recommendations

83 FR 43685 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Toxic Substance and Disease Registry

Federal Register Volume 83, Issue 166 (August 27, 2018)

Page Range43685-43687
FR Document2018-18446

The Agency for Toxic Substances and Disease Registry (ATSDR), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled ``Human Health Effects of Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS) at Pease International Tradeport, Portsmouth, NH (The Pease Study).'' The purpose of this research is to use sound study methods to see if drinking water exposure to PFAS is related to health outcomes in this New Hampshire community.

Federal Register, Volume 83 Issue 166 (Monday, August 27, 2018)
[Federal Register Volume 83, Number 166 (Monday, August 27, 2018)]
[Notices]
[Pages 43685-43687]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-18446]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Toxic Substance and Disease Registry

[60Day-18-18AUZ; Docket No. ATSDR-2018-0008]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Agency for Toxic Substances and Disease Registry (ATSDR), 
Department of Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Agency for Toxic Substances and Disease Registry (ATSDR), 
as part of its continuing effort to reduce public burden and maximize 
the utility of government information, invites the general public and 
other Federal agencies the opportunity to comment on a proposed and/or 
continuing information collection, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collection project titled ``Human Health Effects of 
Drinking Water Exposures to Per- and Polyfluoroalkyl Substances (PFAS) 
at Pease International Tradeport, Portsmouth, NH (The Pease Study).'' 
The purpose of this research is to use sound study methods to see if 
drinking water exposure to PFAS is related to health outcomes in this 
New Hampshire community.

DATES: ATSDR must receive written comments on or before October 26, 
2018.

ADDRESSES: You may submit comments, identified by Docket No. ATSDR-
2018-0008 by any of the following methods:
     Federal eRulemaking Portal: Regulations.gov. Follow the 
instructions for submitting comments.
     Mail: Jeffrey M. Zirger, Information Collection Review 
Office, Centers for Disease Control and Prevention, 1600 Clifton Road 
NE, MS-D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and

[[Page 43686]]

Docket Number. ATSDR will post, without change, all relevant comments 
to Regulations.gov.
    Please note: Submit all comments through the Federal eRulemaking 
portal (regulations.gov) or by U.S. mail to the address listed above.

FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact Jeffery M. Zirger, Information Collection 
Review Office, Centers for Disease Control and Prevention, 1600 Clifton 
Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: 
[email protected].

SUPPLEMENTARY INFORMATION:  Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to the OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    The OMB is particularly interested in comments that will help:
    1. Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
    2. Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    3. Enhance the quality, utility, and clarity of the information to 
be collected; and
    4. Minimize the burden of the collection of information on those 
who are to respond, including through the use of appropriate automated, 
electronic, mechanical, or other technological collection techniques or 
other forms of information technology, e.g., permitting electronic 
submissions of responses.
    5. Assess information collection costs.

Proposed Project

    Human Health Effects of Drinking Water Exposures to Per- and 
Polyfluoroalkyl Substances (PFAS) at Pease International Tradeport, 
Portsmouth, NH (The Pease Study)--NEW--Agency for Toxic Substances and 
Disease Registry (ATSDR).

Background and Brief Description

    Per- and polyfluoroalkyl substances (PFAS) are a family of 
environmentally and biologically persistent chemicals used in 
industrial applications such as aqueous film-forming foam (AFFF), used 
to extinguish flammable liquid fires. Since the 1970s, military bases 
in the U.S. have used AFFF with PFAS constituents for firefighting 
training as well as to extinguish fires. At some military bases, AFFF 
use has resulted in the migration of PFAS chemicals through soils to 
ground water and/or surface water sources of drinking water for bases 
and/or surrounding communities. In 2016, the U.S. Environmental 
Protection Agency (USEPA) issued a lifetime health advisory level of 
0.07 total micrograms of perfluorooctanoate (PFOA) and perfluorooctane 
sulfonate (PFOS) combined per liter of drinking water ([micro]g/L). In 
response to growing awareness of the extent of PFAS contamination 
across the U.S., Section 8006 of the Consolidated Appropriations Act, 
2018, authorized the Agency for Toxic Substances and Disease Registry 
(ATSDR) to conduct a study on the human health effects of PFAS 
contamination in drinking water.
    In response, ATSDR is requesting a three-year Paperwork Reduction 
Act (PRA) clearance for the Pease Study, which will serve as a proof-
of-concept model for a national multi-site study of PFAS health 
effects. The existence of a large body of state and local environmental 
monitoring and population blood testing data makes the Pease community 
in Portsmouth, NH, particularly suitable as ATSDR's initial PFAS 
research study site. From approximately 1970 until 1991, the Air Force 
used AFFF for firefighting and training at Pease Air Force Base. The 
base closed in 1991, and was converted to a large business and aviation 
industrial park in 1993, the Pease International Tradeport. In 2014, 
PFAS drinking water concentrations were detected (0.35 [micro]g/L PFOA 
and 2.4 [micro]g/L PFOS) at levels well above what was to become the 
USEPA lifetime health advisory level (0.07 [micro]g/L PFOA/PFOS). In 
2015-7, the New Hampshire Department of Health and Human Services (NH 
DHHS) offered a PFAS blood testing program to the community. The blood 
testing program showed that the Pease population had concentrations of 
some types of PFAS that were two to three times higher than national 
estimates.
    The Pease Study will be cross-sectional in design, drawing from a 
convenience sample of people with and without exposure to PFAS-
contaminated drinking water from Pease. The main goals of the study are 
to: (1) Evaluate the study procedures and methods to identify any 
issues that need to be addressed before embarking on a national multi-
site study; and (2) examine associations between health outcomes and 
measured and historically reconstructed serum levels of PFAS. ATSDR 
will examine the association between PFAS compounds and lipids, renal 
function and kidney disease, thyroid hormones and disease, liver 
function and disease, glycemic parameters and diabetes, as well as 
immune response and function in both children and adults. In addition, 
ATSDR will investigate if PFAS is related to differences in sex 
hormones and sexual maturation, vaccine response, and neurobehavioral 
outcomes in children. In adults, additional outcomes of interest 
include cardiovascular disease, osteoarthritis, osteoporosis, 
endometriosis, and autoimmune disease. Adults will be 18 years or 
older, and children will be 4-17 years of age at enrollment.
    In total, ATSDR seeks to enroll 1,625 participants (1,100 adults 
and 525 children and their parents). Annualized estimates are 542 
participants (367 adults and 175 children).
    For the exposure group (n=1,350), ATSDR will enroll 1,000 adults 
and 350 children. Annualized estimates are 450 exposed participants 
(333 adults and 117 children). Eligible participants had to work at, 
live on, or attend childcare at the former Pease Air Force Base or the 
Pease International Tradeport, or live in a nearby home that was served 
by a PFAS-contaminated private well. Drinking water exposures must have 
occurred at some time between 2004 and May 2014, after which 
remediation of the public water supply occurred.
    For the referent group (n=275), ATSDR will enroll 100 adults and 
175 children. Annualized estimates are 92 referent participants (34 
adults and 58 children). Eligible participants, never exposed to PFAS-
contaminated drinking water from Pease, will come from other areas of 
Portsmouth, NH. Birth mothers of referent children likewise must never 
have had PFAS drinking water exposure.
    ATSDR will recruit, screen for eligibility, and enroll in three 
waves. The exposure group will be recruited in Waves One and Two. ATSDR 
estimates that 90% of the exposure group will be

[[Page 43687]]

enrolled in Wave 1 (n=1,215, or 405 per year), that is, will be past 
participants of the 2015-7 NH DHHS PFAS blood testing program. NH DHHS 
will assist ATSDR by sending out letters of invitation to its former 
blood testing program participants. To achieve the desired sample size, 
the other 10 percent of the exposure group (n=135, or 45 per year) will 
be recruited in Wave 2. These will be people who were eligible for the 
PFAS blood testing program but did not take part. The referent group 
will be recruited in Wave Three (n=275, or 92 per year), which can 
occur concurrently with Wave 1 and Wave 2. Wave 2 and Wave 3 recruits 
will call to volunteer after ATSDR opens those waves to enrollment.
    To restrict this study to drinking water exposures, any adult 
occupationally exposed to PFAS will not be eligible for the study (i.e. 
ever firefighters or in chemical manufacture). Likewise, children whose 
birth mothers were occupationally exposed will not be eligible. This 
restriction applies to both the exposure and the referent group. ATSDR 
assumes that 5% of the people who volunteer will not meet eligibility 
requirements. ATSDR will screen the 1,578 people from the NH DHHS PFAS 
blood testing program in Wave One (n=526 per year). ATSDR will screen 
at least 142 exposed people in Wave 2 (or 47 per year), and at least 
289 unexposed people in Wave 3 (or 96 per year). This will require an 
annual time burden of 124 hours for eligibility screening.
    At enrollment, ATSDR will obtain adult consent, parental 
permission, and child assent before data collection begins. Each child 
will enroll with a parent, who ideally will be the child's birth 
mother, as ATSDR will ask details about the child's exposure, 
pregnancy, and breastfeeding history.
    For each participant, ATSDR will take body measures, collect blood 
and urine samples for chemical and biomarker analysis, and administer a 
questionnaire on exposures and medical history. For purposes of burden 
estimation, ATSDR assumes that 20% of parents will also enroll as 
adults; therefore, 420 parents will take the child questionnaire long 
form (n=140 per year), while 105 parents will take the short form to 
reduce burden (n=35 per year). Parents and children will also complete 
assessments of the child's attention and behaviors. After eligibility 
screening, the annual time burden for participation in the study is 58 
hours for adults and 208 hours for children and their parents.
    ATSDR will ask for permission to compare adults' and children's 
medical histories with their medical records. ATSDR will also ask for 
permission to check children's school records to compare their 
behavioral assessment results. The annual time burden for medical and 
educational record abstraction is estimated to be 125 hours for adult 
records and 118 hours for children's records.
    The total annualized time burden requested is 1,189 hours. There is 
no cost to the respondents other than their time.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                             Number of       Number of      burden per     Total burden
              Type of respondents                               Form name                   respondents    responses per   response  (in    (in hours)
                                                                                                            respondent        hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Pease Study Participants.......................  Wave One Eligibility Screening Script..             526               1           10/60              88
                                                 Wave Two Eligibility Screening Script..              47               1           15/60              12
                                                 Wave Three Eligibility Screening Script              96               1           15/60              24
                                                 Appointment Reminder Telephone Script..             542               1            5/60              45
                                                 Update Contact Information Hardcopy                 542               1            5/60              45
                                                  Form.
                                                 Medication List........................             542               1            3/60              27
                                                 Body and Blood Pressure Measures Form..             542               1            5/60              45
                                                 Blood Draw and Urine Collection Form...             542               1           10/60              90
                                                 Adult Questionnaire....................             367               1           30/60             184
                                                 Child Questionnaire--Long Form.........             140               1           30/60              70
                                                 Child Questionnaire--Short Form........              35               1           15/60               9
                                                 Parent Neurobehavioral Test Battery....             175               1           15/60              44
                                                 Child Neurobehavioral Test Battery.....             175               1           90/60             263
Education Specialists..........................  Child School Record Abstraction Form...              15              12           20/60              60
Medical Record Specialists.....................  Medical Record Abstraction Form--Adult.              25              15           20/60             125
                                                 Medical Record Abstraction Form--Child.              25               7           20/60              58
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............           1,189
--------------------------------------------------------------------------------------------------------------------------------------------------------


Jeffrey M. Zirger,
Acting Chief, Information Collection Review Office, Office of 
Scientific Integrity, Office of the Associate Director for Science, 
Office of the Director, Centers for Disease Control and Prevention.
[FR Doc. 2018-18446 Filed 8-24-18; 8:45 am]
BILLING CODE 4163-18-P



                                                                            Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices                                                 43685

                                              that consumer reporting agencies will                    Commission by courier or overnight                   more information, including routine
                                              use third-party contractors (instead of                  service.                                             uses permitted by the Privacy Act, in
                                              their own employees) to increase the                        Because your comment will be placed               the Commission’s privacy policy, at
                                              capacity of their systems. Because of the                on the publicly accessible FTC website               https://www.ftc.gov/site-information/
                                              way these contracts are typically                        at https://www.ftc.gov, you are solely               privacy-policy.
                                              established, these costs will likely be                  responsible for making sure that your
                                                                                                       comment does not include any sensitive               Heather Hippsley,
                                              incurred on a continuing basis, and will
                                              be calculated based on the number of                     or confidential information. In                      Acting Principal Deputy General Counsel.
                                              requests handled by the systems. Staff                   particular, your comment should not                  [FR Doc. 2018–18448 Filed 8–24–18; 8:45 am]
                                              estimates that the total annual amount                   include any sensitive personal                       BILLING CODE 6750–01–P
                                              to be paid for services delivered under                  information, such as your or anyone
                                              these contracts is $13,919,400.9                         else’s Social Security number; date of
                                                                                                       birth; driver’s license number or other              DEPARTMENT OF HEALTH AND
                                              H. Net Burden for FTC, After 50:50 Split                 state identification number, or foreign              HUMAN SERVICES
                                                After halving the updated estimates to                 country equivalent; passport number;
                                              split the PRA burden with the CFPB                       financial account number; or credit or               Agency for Toxic Substance and
                                              regarding the Rule, the FTC’s burden                     debit card number. You are also solely               Disease Registry
                                              totals are 214,538 hours, $4,246,441 in                  responsible for making sure that your
                                                                                                       comment does not include any sensitive               [60Day–18–18AUZ; Docket No. ATSDR–
                                              associated labor costs, and $6,959,700 in                                                                     2018–0008]
                                              non-labor/capital costs.                                 health information, such as medical
                                                                                                       records or other individually                        Proposed Data Collection Submitted
                                              Request for Comments                                     identifiable health information. In                  for Public Comment and
                                                 You can file a comment online or on                   addition, your comment should not                    Recommendations
                                              paper. For the FTC to consider your                      include any ‘‘trade secret or any
                                              comment, we must receive it on or                        commercial or financial information                  AGENCY:  Agency for Toxic Substances
                                              before October 26, 2018. Write                           which . . . . is privileged or                       and Disease Registry (ATSDR),
                                              ‘‘Paperwork Reduction Act: FTC File                      confidential’’—as provided by Section                Department of Health and Human
                                              No. P072108’’ on your comment. Your                      6(f) of the FTC Act, 15 U.S.C. 46(f), and            Services (HHS).
                                              comment—including your name and                          FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2)—              ACTION: Notice with comment period.
                                              your state—will be placed on the public                  including in particular competitively
                                                                                                       sensitive information such as costs,                 SUMMARY: The Agency for Toxic
                                              record of this proceeding, including, to
                                              the extent practicable, on the public                    sales statistics, inventories, formulas,             Substances and Disease Registry
                                              Commission website, at https://                          patterns, devices, manufacturing                     (ATSDR), as part of its continuing effort
                                              www.ftc.gov/policy/public-comments.                      processes, or customer names.                        to reduce public burden and maximize
                                                                                                          Comments containing material for                  the utility of government information,
                                              Postal mail addressed to the
                                                                                                       which confidential treatment is                      invites the general public and other
                                              Commission is subject to delay due to
                                                                                                       requested must be filed in paper form,               Federal agencies the opportunity to
                                              heightened security screening. As a
                                                                                                       must be clearly labeled ‘‘Confidential,’’            comment on a proposed and/or
                                              result, we encourage you to submit your
                                                                                                       and must comply with FTC Rule 4.9(c).                continuing information collection, as
                                              comments online. To make sure that the
                                                                                                       In particular, the written request for               required by the Paperwork Reduction
                                              Commission considers your online
                                                                                                       confidential treatment that accompanies              Act of 1995. This notice invites
                                              comment, you must file it at https://                    the comment must include the factual
                                              ftcpublic.commentworks.com/ftc/                                                                               comment on a proposed information
                                                                                                       and legal basis for the request, and must            collection project titled ‘‘Human Health
                                              regulationVsubpartNpra by following                      identify the specific portions of the
                                              the instructions on the web based form.                                                                       Effects of Drinking Water Exposures to
                                                                                                       comment to be withheld from the public               Per- and Polyfluoroalkyl Substances
                                              If this Notice appears at https://                       record. See FTC Rule 4.9(c). Your
                                              www.regulations.gov, you also may file                                                                        (PFAS) at Pease International Tradeport,
                                                                                                       comment will be kept confidential only               Portsmouth, NH (The Pease Study).’’
                                              a comment through that website.                          if the General Counsel grants your                   The purpose of this research is to use
                                                 If you file your comment on paper,                    request in accordance with the law and               sound study methods to see if drinking
                                              write ‘‘Paperwork Reduction Act: FTC                     the public interest. Once your comment               water exposure to PFAS is related to
                                              File No. P072108’’ on your comment                       has been posted on the public FTC                    health outcomes in this New Hampshire
                                              and on the envelope, and mail it to the                  website—as legally required by FTC                   community.
                                              following address: Federal Trade                         Rule 4.9(b)—we cannot redact or
                                              Commission, Office of the Secretary,                                                                          DATES: ATSDR must receive written
                                                                                                       remove your comment from the FTC
                                              600 Pennsylvania Avenue NW, Suite                                                                             comments on or before October 26,
                                                                                                       website, unless you submit a
                                              CC–5610 (Annex J), Washington, DC                                                                             2018.
                                                                                                       confidentiality request that meets the
                                              20580, or deliver your comment to the                    requirements for such treatment under                ADDRESSES:  You may submit comments,
                                              following address: Federal Trade                         FTC Rule 4.9(c), and the General                     identified by Docket No. ATSDR–2018–
                                              Commission, Office of the Secretary,                     Counsel grants that request.                         0008 by any of the following methods:
                                              Constitution Center, 400 7th Street SW,                     Visit the Commission website at                     • Federal eRulemaking Portal:
                                              5th Floor, Suite 5610 (Annex J),                         https://www.ftc.gov to read this Notice.             Regulations.gov. Follow the instructions
                                              Washington, DC 20024. If possible,                       The FTC Act and other laws that the                  for submitting comments.
amozie on DSK3GDR082PROD with NOTICES1




                                              submit your paper comment to the                         Commission administers permit the                      • Mail: Jeffrey M. Zirger, Information
                                                                                                       collection of public comments to                     Collection Review Office, Centers for
                                                9 This consists of an estimated $9,302,400 for         consider and use in this proceeding as               Disease Control and Prevention, 1600
                                              automated telephone cost ($1.36 per request × 6.84       appropriate. The Commission will                     Clifton Road NE, MS–D74, Atlanta,
                                              million requests) and an estimated $4,617,000
                                              ($0.15 per request × 30.78 million requests) for
                                                                                                       consider all timely and responsive                   Georgia 30329.
                                              internet web service cost. Per unit cost estimates are   public comments that it receives on or                 Instructions: All submissions received
                                              based on staff’s knowledge of the industry.              before October 26, 2018. You can find                must include the agency name and


                                         VerDate Sep<11>2014   17:51 Aug 24, 2018   Jkt 244001   PO 00000   Frm 00052   Fmt 4703   Sfmt 4703   E:\FR\FM\27AUN1.SGM   27AUN1


                                              43686                        Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices

                                              Docket Number. ATSDR will post,                         Pease International Tradeport,                        that were two to three times higher than
                                              without change, all relevant comments                   Portsmouth, NH (The Pease Study)—                     national estimates.
                                              to Regulations.gov.                                     NEW—Agency for Toxic Substances and                      The Pease Study will be cross-
                                                 Please note: Submit all comments                     Disease Registry (ATSDR).                             sectional in design, drawing from a
                                              through the Federal eRulemaking portal                                                                        convenience sample of people with and
                                                                                                      Background and Brief Description                      without exposure to PFAS-
                                              (regulations.gov) or by U.S. mail to the
                                              address listed above.                                      Per- and polyfluoroalkyl substances                contaminated drinking water from
                                              FOR FURTHER INFORMATION CONTACT: To                     (PFAS) are a family of environmentally                Pease. The main goals of the study are
                                              request more information on the                         and biologically persistent chemicals                 to: (1) Evaluate the study procedures
                                              proposed project or to obtain a copy of                 used in industrial applications such as               and methods to identify any issues that
                                              the information collection plan and                     aqueous film-forming foam (AFFF),                     need to be addressed before embarking
                                              instruments, contact Jeffery M. Zirger,                 used to extinguish flammable liquid                   on a national multi-site study; and (2)
                                              Information Collection Review Office,                   fires. Since the 1970s, military bases in             examine associations between health
                                              Centers for Disease Control and                         the U.S. have used AFFF with PFAS                     outcomes and measured and historically
                                              Prevention, 1600 Clifton Road NE, MS–                   constituents for firefighting training as             reconstructed serum levels of PFAS.
                                              D74, Atlanta, Georgia 30329; phone:                     well as to extinguish fires. At some                  ATSDR will examine the association
                                              404–639–7570; Email: omb@cdc.gov.                       military bases, AFFF use has resulted in              between PFAS compounds and lipids,
                                                                                                      the migration of PFAS chemicals                       renal function and kidney disease,
                                              SUPPLEMENTARY INFORMATION: Under the
                                                                                                      through soils to ground water and/or                  thyroid hormones and disease, liver
                                              Paperwork Reduction Act of 1995 (PRA)                                                                         function and disease, glycemic
                                              (44 U.S.C. 3501–3520), Federal agencies                 surface water sources of drinking water
                                                                                                      for bases and/or surrounding                          parameters and diabetes, as well as
                                              must obtain approval from the Office of                                                                       immune response and function in both
                                              Management and Budget (OMB) for each                    communities. In 2016, the U.S.
                                                                                                      Environmental Protection Agency                       children and adults. In addition, ATSDR
                                              collection of information they conduct                                                                        will investigate if PFAS is related to
                                              or sponsor. In addition, the PRA also                   (USEPA) issued a lifetime health
                                                                                                      advisory level of 0.07 total micrograms               differences in sex hormones and sexual
                                              requires Federal agencies to provide a                                                                        maturation, vaccine response, and
                                              60-day notice in the Federal Register                   of perfluorooctanoate (PFOA) and
                                                                                                      perfluorooctane sulfonate (PFOS)                      neurobehavioral outcomes in children.
                                              concerning each proposed collection of                                                                        In adults, additional outcomes of
                                              information, including each new                         combined per liter of drinking water
                                                                                                      (mg/L). In response to growing                        interest include cardiovascular disease,
                                              proposed collection, each proposed                                                                            osteoarthritis, osteoporosis,
                                              extension of existing collection of                     awareness of the extent of PFAS
                                                                                                      contamination across the U.S., Section                endometriosis, and autoimmune
                                              information, and each reinstatement of                                                                        disease. Adults will be 18 years or older,
                                              previously approved information                         8006 of the Consolidated
                                                                                                      Appropriations Act, 2018, authorized                  and children will be 4–17 years of age
                                              collection before submitting the                                                                              at enrollment.
                                              collection to the OMB for approval. To                  the Agency for Toxic Substances and
                                                                                                                                                               In total, ATSDR seeks to enroll 1,625
                                              comply with this requirement, we are                    Disease Registry (ATSDR) to conduct a
                                                                                                                                                            participants (1,100 adults and 525
                                              publishing this notice of a proposed                    study on the human health effects of                  children and their parents). Annualized
                                              data collection as described below.                     PFAS contamination in drinking water.                 estimates are 542 participants (367
                                                 The OMB is particularly interested in                   In response, ATSDR is requesting a                 adults and 175 children).
                                              comments that will help:                                three-year Paperwork Reduction Act                       For the exposure group (n=1,350),
                                                 1. Evaluate whether the proposed                     (PRA) clearance for the Pease Study,                  ATSDR will enroll 1,000 adults and 350
                                              collection of information is necessary                  which will serve as a proof-of-concept                children. Annualized estimates are 450
                                              for the proper performance of the                       model for a national multi-site study of              exposed participants (333 adults and
                                              functions of the agency, including                      PFAS health effects. The existence of a               117 children). Eligible participants had
                                              whether the information will have                       large body of state and local                         to work at, live on, or attend childcare
                                              practical utility;                                      environmental monitoring and                          at the former Pease Air Force Base or the
                                                 2. Evaluate the accuracy of the                      population blood testing data makes the               Pease International Tradeport, or live in
                                              agency’s estimate of the burden of the                  Pease community in Portsmouth, NH,                    a nearby home that was served by a
                                              proposed collection of information,                     particularly suitable as ATSDR’s initial              PFAS-contaminated private well.
                                              including the validity of the                           PFAS research study site. From                        Drinking water exposures must have
                                              methodology and assumptions used;                       approximately 1970 until 1991, the Air                occurred at some time between 2004
                                                 3. Enhance the quality, utility, and                 Force used AFFF for firefighting and                  and May 2014, after which remediation
                                              clarity of the information to be                        training at Pease Air Force Base. The                 of the public water supply occurred.
                                              collected; and                                          base closed in 1991, and was converted                   For the referent group (n=275),
                                                 4. Minimize the burden of the                        to a large business and aviation                      ATSDR will enroll 100 adults and 175
                                              collection of information on those who                  industrial park in 1993, the Pease                    children. Annualized estimates are 92
                                              are to respond, including through the                   International Tradeport. In 2014, PFAS                referent participants (34 adults and 58
                                              use of appropriate automated,                           drinking water concentrations were                    children). Eligible participants, never
                                              electronic, mechanical, or other                        detected (0.35 mg/L PFOA and 2.4 mg/L                 exposed to PFAS-contaminated drinking
                                              technological collection techniques or                  PFOS) at levels well above what was to                water from Pease, will come from other
                                              other forms of information technology,                  become the USEPA lifetime health                      areas of Portsmouth, NH. Birth mothers
                                              e.g., permitting electronic submissions                 advisory level (0.07 mg/L PFOA/PFOS).                 of referent children likewise must never
amozie on DSK3GDR082PROD with NOTICES1




                                              of responses.                                           In 2015–7, the New Hampshire                          have had PFAS drinking water
                                                 5. Assess information collection costs.              Department of Health and Human                        exposure.
                                                                                                      Services (NH DHHS) offered a PFAS                        ATSDR will recruit, screen for
                                              Proposed Project                                        blood testing program to the                          eligibility, and enroll in three waves.
                                                Human Health Effects of Drinking                      community. The blood testing program                  The exposure group will be recruited in
                                              Water Exposures to Per- and                             showed that the Pease population had                  Waves One and Two. ATSDR estimates
                                              Polyfluoroalkyl Substances (PFAS) at                    concentrations of some types of PFAS                  that 90% of the exposure group will be


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                                                                                    Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices                                                                                                 43687

                                              enrolled in Wave 1 (n=1,215, or 405 per                                  the exposure and the referent group.                                          enroll as adults; therefore, 420 parents
                                              year), that is, will be past participants of                             ATSDR assumes that 5% of the people                                           will take the child questionnaire long
                                              the 2015–7 NH DHHS PFAS blood                                            who volunteer will not meet eligibility                                       form (n=140 per year), while 105
                                              testing program. NH DHHS will assist                                     requirements. ATSDR will screen the                                           parents will take the short form to
                                              ATSDR by sending out letters of                                          1,578 people from the NH DHHS PFAS                                            reduce burden (n=35 per year). Parents
                                              invitation to its former blood testing                                   blood testing program in Wave One                                             and children will also complete
                                              program participants. To achieve the                                     (n=526 per year). ATSDR will screen at                                        assessments of the child’s attention and
                                              desired sample size, the other 10                                        least 142 exposed people in Wave 2 (or                                        behaviors. After eligibility screening,
                                              percent of the exposure group (n=135,                                    47 per year), and at least 289 unexposed                                      the annual time burden for participation
                                              or 45 per year) will be recruited in Wave                                people in Wave 3 (or 96 per year). This                                       in the study is 58 hours for adults and
                                              2. These will be people who were                                         will require an annual time burden of                                         208 hours for children and their parents.
                                              eligible for the PFAS blood testing                                      124 hours for eligibility screening.
                                                                                                                         At enrollment, ATSDR will obtain                                              ATSDR will ask for permission to
                                              program but did not take part. The
                                                                                                                       adult consent, parental permission, and                                       compare adults’ and children’s medical
                                              referent group will be recruited in Wave
                                                                                                                       child assent before data collection                                           histories with their medical records.
                                              Three (n=275, or 92 per year), which
                                                                                                                       begins. Each child will enroll with a                                         ATSDR will also ask for permission to
                                              can occur concurrently with Wave 1 and
                                                                                                                       parent, who ideally will be the child’s                                       check children’s school records to
                                              Wave 2. Wave 2 and Wave 3 recruits
                                                                                                                       birth mother, as ATSDR will ask details                                       compare their behavioral assessment
                                              will call to volunteer after ATSDR opens
                                              those waves to enrollment.                                               about the child’s exposure, pregnancy,                                        results. The annual time burden for
                                                 To restrict this study to drinking                                    and breastfeeding history.                                                    medical and educational record
                                              water exposures, any adult                                                 For each participant, ATSDR will take                                       abstraction is estimated to be 125 hours
                                              occupationally exposed to PFAS will                                      body measures, collect blood and urine                                        for adult records and 118 hours for
                                              not be eligible for the study (i.e. ever                                 samples for chemical and biomarker                                            children’s records.
                                              firefighters or in chemical manufacture).                                analysis, and administer a questionnaire                                        The total annualized time burden
                                              Likewise, children whose birth mothers                                   on exposures and medical history. For                                         requested is 1,189 hours. There is no
                                              were occupationally exposed will not be                                  purposes of burden estimation, ATSDR                                          cost to the respondents other than their
                                              eligible. This restriction applies to both                               assumes that 20% of parents will also                                         time.

                                                                                                                      ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                 Average
                                                                                                                                                                                                   Number of
                                                                                                                                                                        Number of                                              burden per              Total burden
                                                 Type of respondents                                              Form name                                                                      responses per
                                                                                                                                                                       respondents                                              response                (in hours)
                                                                                                                                                                                                   respondent                   (in hours)

                                              Pease Study Participants              Wave One Eligibility Screening Script .................                                            526                            1                    10/60                 88
                                                                                    Wave Two Eligibility Screening Script .................                                             47                            1                    15/60                 12
                                                                                    Wave Three Eligibility Screening Script ..............                                              96                            1                    15/60                 24
                                                                                    Appointment Reminder Telephone Script ...........                                                  542                            1                     5/60                 45
                                                                                    Update Contact Information Hardcopy Form ......                                                    542                            1                     5/60                 45
                                                                                    Medication List .....................................................                              542                            1                     3/60                 27
                                                                                    Body and Blood Pressure Measures Form .........                                                    542                            1                     5/60                 45
                                                                                    Blood Draw and Urine Collection Form ..............                                                542                            1                    10/60                 90
                                                                                    Adult Questionnaire .............................................                                  367                            1                    30/60                184
                                                                                    Child Questionnaire—Long Form ........................                                             140                            1                    30/60                 70
                                                                                    Child Questionnaire—Short Form .......................                                              35                            1                    15/60                  9
                                                                                    Parent Neurobehavioral Test Battery ..................                                             175                            1                    15/60                 44
                                                                                    Child Neurobehavioral Test Battery ....................                                            175                            1                    90/60                263
                                              Education Specialists ....            Child School Record Abstraction Form ...............                                                15                           12                    20/60                 60
                                              Medical Record Special-               Medical Record Abstraction Form—Adult ...........                                                   25                           15                    20/60                125
                                                ists.
                                                                                    Medical Record Abstraction Form—Child ...........                                                     25                          7                    20/60                 58

                                                   Total ........................    ..............................................................................   ........................   ........................   ........................          1,189



                                              Jeffrey M. Zirger,                                                       DEPARTMENT OF HEALTH AND                                                      Control and Prevention (CDC),
                                              Acting Chief, Information Collection Review                              HUMAN SERVICES                                                                Department of Health and Human
                                              Office, Office of Scientific Integrity, Office                                                                                                         Services (HHS).
                                              of the Associate Director for Science, Office                            Centers for Disease Control and
                                                                                                                                                                                                     ACTION:        Notice of availability.
                                              of the Director, Centers for Disease Control                             Prevention
                                              and Prevention.
                                                                                                                                                                                                     SUMMARY: NIOSH announces the
                                              [FR Doc. 2018–18446 Filed 8–24–18; 8:45 am]                              [CDC–2017–0104; Docket Number NIOSH–
                                                                                                                                                                                                     availability of the final National
                                              BILLING CODE 4163–18–P                                                   304]
                                                                                                                                                                                                     Occupational Research Agenda for
amozie on DSK3GDR082PROD with NOTICES1




                                                                                                                       Final National Occupational Research                                          Traumatic Injury Prevention.
                                                                                                                       Agenda for Traumatic Injury                                                   DATES: The final document was
                                                                                                                       Prevention                                                                    published on August 20, 2018 on the
                                                                                                                       AGENCY: National Institute for                                                CDC website.
                                                                                                                       Occupational Safety and Health                                                ADDRESSES:   The document may be
                                                                                                                       (NIOSH) of the Centers for Disease                                            obtained at the following link: https://


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Document Created: 2018-08-25 01:49:35
Document Modified: 2018-08-25 01:49:35
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice with comment period.
DatesATSDR must receive written comments on or before October 26, 2018.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact Jeffery M. Zirger, Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation83 FR 43685 

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