The EPA Should Better
Prepare to Implement
Public Notification
Requirements When Lead
in Drinking Water Poses
Serious Risks to Human
Health

June 10, 2024 | Report No. 24-P-0044


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Report Contributors

Joon Choi
Michael Davis
Tim Roach
Denton Stafford
Lela Wong

Abbreviations

ALE

Action Level Exceedance

C.F.R.

Code of Federal Regulations

EPA

U.S. Environmental Protection Agency

LCR

Lead and Copper Rule

LCRI

Lead and Copper Rule Improvements

LCRR

Lead and Copper Rule Revisions

OGWDW

Office of Ground Water and Drinking Water

OIG

Office of Inspector General

SDWA

Safe Drinking Water Act

SDWIS

Safe Drinking Water Information System

U.S.C.

United States Code

WIIN Act

Water Infrastructure Improvements for the Nation Act

Key Definitions

Please see Appendix A for key definitions.

Cover Image

A glass of tap water. (U.S. Geological Survey image)

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At a Gla

24-P-0044
June 10, 2024

The EPA Should Better Prepare to Implement Public Notification
Requirements When Lead in Drinking Water Poses Serious Risks to
Human Health

Why We Did This Audit

To accomplish this objective:

The U.S. Environmental Protection
Agency Office of Inspector General
initiated this audit based on a request
from the U.S. Senate Committee on
Homeland Security and Governmental
Affairs. The objective of the audit is to
assess the EPA's preparation to
implement the public notification
requirements under section 2106 of the
Water Infrastructure Improvements for
the Nation Act.

The Act requires the EPA to implement
notification requirements for a lead-
action-level exceedance if the
exceedance "has the potential to have
serious adverse effects on human
health as a result of short-term
exposure." This requires public water
systems to notify the persons served,
the state primacy agency, and the EPA
as soon as practicable, but not later
than 24 hours after systems learn of
the exceedance. The EPA is also
required to provide the notices within
24 hours after it is notified if the public
water system or state has not done so.

To support these EPA mission-
related efforts:

•	Operating efficiently and
effectively.

•	Ensuring clean and safe water.

To address this top EPA
management challenge:

•	Maximizing compliance with
environmental laws and
regulations.

Address inquiries to our public
affairs office at (202) 566-2391 or
OIG.PublicAffairs@epa.gov.

What We Found

At the time of our audit, the EPA was not ready to comply with the public notification
requirements under section 2106 of the Water Infrastructure Improvements for the Nation
Act. On January 15, 2021, the EPA published a final rule to implement these requirements
for public water systems. The final rule included the EPA's determination that a lead-action-
level exceedance, or lead ALE, is a Tier 1 public notification because it can have serious
adverse effects on human health as a result of short-term exposure. The notification must
provide information about the impacts of lead and what people can do to protect
themselves. Although the Office of Water reported that it was in the process of developing
a strategy, it had not developed a plan or milestones or provided guidance to help EPA
regions, states, and water systems to be ready to comply with the notification requirements
by the compliance date of October 16, 2024. The Office of Water also does not receive
data in a timely manner to monitor lead ALE, oversee water systems' compliance with the
notification requirements, and provide the notices if water systems and states have not
done so. Based on tap water samples reported in the EPA's tracking system from
January 2021 through March 2023, we identified 498 water systems with lead ALE, serving
about 2.3 million people. With millions of people potentially affected by lead ALE, water
systems, states, and the EPA must be ready to comply by October 2024.

The public could face continued exposure to lead without immediate
information for mitigating the health risks if the EPA, states, and water
systems are not ready to comply with the public notification
requirements by the October 2024 compliance date.

Recommendations and Planned Agency Corrective Actions

We recommend that the assistant administrator for Water establish a plan for implementing
the Tier 1 lead ALE public notification requirements so that water systems, the states, and
the EPA are ready to comply by October 16, 2024. We also recommend that the assistant
administrator develop procedures to receive and track lead ALE information as soon as it is
available to the states to ensure compliance with the public notification requirements. The
Agency concurred with our two recommendations and provided acceptable planned
corrective actions and estimated milestone dates. These recommendations are resolved
with corrective actions pending.

List of OIG reports


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U.S. ENVIRONMENTAL PROTECTION AGENCY

OFFICE OF INSPECTOR GENERAL

June 10, 2024

MEMORANDUM

SUBJECT: The EPA Should Better Prepare to Implement Public Notification Requirements When
Lead in Drinking Water Poses Serious Risks to Human Health
Report No. 24-P-0044

This is our report on the subject audit conducted by the U.S. Environmental Protection Agency Office of
Inspector General. The project number for this audit was QA-FY23-0034. This report contains findings
that describe the problems the OIG has identified and corrective actions the OIG recommends. Final
determinations on matters in this report will be made by EPA managers in accordance with established
audit resolution procedures.

The Office of Water is responsible for the issues discussed in this report.

In accordance with EPA Manual 2750, your office provided acceptable planned corrective actions and
estimated milestone dates in response to OIG recommendations. All recommendations are resolved,
and no final response to this report is required. If you submit a response, however, it will be posted on
the OIG's website, along with our memorandum commenting on your response. Your response should
be provided as an Adobe PDF file that complies with the accessibility requirements of section 508 of the
Rehabilitation Act of 1973, as amended. The final response should not contain data that you do not want
to be released to the public; if your response contains such data, you should identify the data for
redaction or removal along with corresponding justification.

We will post this report to our website at www.epaoig.gov.

To report potential fraud, waste, abuse, misconduct, or mismanagement, contact the OIG Hotline at (888) 546-8740 or OIG.Hotline@epa.gov.

FROM:	Sean W. O'Donnell, Inspector General

TO:

Bruno Pigott, Acting Assistant Administrator
Office of Water


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Table of Contents

Purpose	1

Background	1

Lead and Copper Rule	1

WIIN Act Section 2106	2

Tracking and Reporting for Exceedance of the Lead Action Level	4

Responsible Office	5

Scope and Methodology	6

Prior Report	6

Results	7

Lack of Implementation Plan for the Tier 1 Lead ALE Notice	7

Timely Data Needed for Compliance Oversight and Public Notification	9

Lack of Timely Notification Prolongs Public Exposure to Health Risks	10

Conclusions	10

Recommendations	10

Agency Response and OIG Assessment	11

Status of Recommendations	12

A Key Definitions	13

B Agency's Response to the Draft Report	14

C Distribution	17


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Purpose

The U.S. Environmental Protection Agency Office of Inspector General initiated this audit based on a
request from the U.S. Senate Committee on Homeland Security and Governmental Affairs. The objective
of the audit, as revised on May 2, 2023, is to assess the EPA's preparation to implement the public
notification requirements under section 2106 of the Water Infrastructure Improvements for the Nation,
orWMN, Act.1

Top management challenge addressed

This audit addresses the following top management challenge for the Agency, as identified in the OIG's The
EPA's Fiscal Year 2024 Top Management Challenges report, issued November 15, 2023:

• Maximizing compliance with environmental laws and regulations.

Background

According to the EPA, there is no safe level of exposure to lead in drinking water. Lead is persistent, and
it can accumulate in the body over time. Even low levels of lead in children's blood can result in behavior
and learning problems, lower IQ, hyperactivity, slowed growth, hearing problems, and anemia. On
December 16, 2016, the WIIN Act was passed. Section 2106 of the Act amended section 1414(c)(2) of
the Safe Drinking Water Act, or SDWA, to require, among other things, public water systems to notify
persons served within 24 hours of learning of a lead-action-level exceedance, or lead ALE, that "has the
potential to have serious adverse effects on human health as a result of short-term exposure." We will
refer to this notification as the Tier 1 lead ALE notice in this report.

Lead and Copper Rule

As authorized under SDWA section 1413, the EPA may delegate authority for administering and
enforcing drinking water regulations to states. This authority is known as primacy. The EPA has
approved primacy for all U.S. territories, the Navajo Nation, and 49 states but retains primacy for
Wyoming, the District of Columbia, and Indian tribes other than the Navajo Nation. In this report, we
will refer to an entity with primacy as a state. While states have primacy for drinking water regulations,
the EPA has oversight responsibilities to ensure states and their water systems are appropriately
implementing SDWA.

SDWA authorizes the EPA to establish national drinking water regulations for water systems. This
includes regulations to control lead and copper in drinking water, known as the Lead and Copper Rule,

1 WIIN Act section 2106 is codified at 42 U.S.C. § 300g-3(c). The report only addresses the notice requirements
under 42 U.S.C. § 300g-3(c)(2), which was implemented by adding lead-action-level exceedances to the Tier 1
public notice requirements as provided at 40 C.F.R. § 141.202.

1


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or LCR. 2 The LCR was published in June 1991 and has undergone various revisions, including revisions on
January 15, 2021, known as the Lead and Copper Rule Revisions, or the LCRR.

The LCR establishes requirements for corrosion control treatment, lead service line replacement, and
public education, among other things. The LCR also establishes monitoring requirements—including
methods for collecting tap water samples to determine the lead concentration in drinking water—and
outlines actions water systems must take when more than 10 percent of tap water samples collected
during a monitoring period show lead above the action level of 15 parts per billion. One of these actions
is to provide public education materials to the community served by the water system no later than
60 days after the end of the monitoring period in which a lead exceedance was detected.3 Public
education materials must describe, among other things, the health effects of lead and the steps the
public can take to reduce its exposure to lead.

The lead action level is exceeded if the concentration of lead in more than 10 percent of the tap water sample tested

during the monitoring period, or the 90th percentile sample result, is greater than 15 parts per billion.

WIINAct Section 2106

The WIIN Act amended SDWA section 1414(c)(2)(C) to require EPA regulations to specify notification
procedures for a lead ALE if the exceedance "has the potential to have serious adverse effects on human
health as a result of short-term exposure." This requires public water systems to notify the persons
served, their state, and the EPA as soon as practicable, but not later than 24 hours after systems learn of
the lead ALE. The WIIN Act amendments to SDWA section 1414(c)(2)(D) require the EPA to provide the
notices within 24 hours after the Agency is notified of the exceedance if the public water system or state
has not provided the required notices. The notices must provide information such as the impacts of lead
and what people can do to protect themselves.

SDWA section 1414(c)(2)(A) requires the EPA to issue regulations setting forth the manner, frequency,
form, and content of notices after consulting the states. The EPA's regulations at 40 C.F.R. part 141,
subpart Q, implement this requirement ("Public Notification of Drinking Water Violations"). To comply
with the WIIN Act, the EPA issued regulations to implement the public notification requirements for lead
ALE, along with its LCR revisions. To make such updates, the EPA must follow an administrative process
for developing and issuing regulations and comply with all applicable requirements, including providing
public notice of the updates and the opportunity to comment on a proposed rule before the final rule is
published. The EPA issued a notice of proposed rulemaking for the LCRR on November 13, 2019, and
published the final rule on January 15, 2021, with an effective date of March 16, 2021, and a compliance
date of January 16, 2024. The final rule established that lead ALEs require a Tier 1 public notification,

2	The LCR, as amended, is 40 C.F.R. part 141 subpart I.

3	The lead action level is set forth in 40 C.F.R. § 141.80(c). The January 2021 revisions to the LCR did not change the
action level of 15 parts per billion.

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which is the EPA's most urgent notification under national primary drinking water regulations. This
Tier 1 public notification is in addition to the public education materials required by 40 C.F.R. § 141.85.

The effective date is when the new rule is codified into the Code of Federal Regulations and the compliance date is when
water systems must comply with the rule.

Delay of Effective and Compliance Dates

On January 20, 2021, the president issued Executive Order 13990, Protecting Public Health and the
Environment and Restoring Science to Tackle the Climate Crisis, directing federal agencies to review
certain regulations to ensure regulatory decisions are guided by the best science and prioritize
environmental justice, among other things. As a result, the EPA postponed the effective date of the
updated regulations, including the LCR revisions and the Tier 1 lead ALE public notification, to allow for
further public comments and EPA review in accordance with the executive order. The final rule
published on June 16, 2021, was effective as of December 16, 2021, and has a compliance date of
October 16, 2024. The new compliance date is about three years after the new effective date. This gives
time for the EPA, states, and water systems to take necessary actions to comply with the LCR revisions
and the Tier 1 lead ALE public notification requirements. Figure 1 provides a timeline of the key events
related to the LCRR, including the Tier 1 lead ALE public notification requirements.

Figure 1: Timeline for implementation of the Tier 1 lead ALE notification requirements

i	5 days	.

o

CM

Jan. 15, 2021

The EPA published
final rule for updated
subparts I & Q

Jan. 20, 2021

Executive
Order 13990
issued

Oct. 16, 2024

Final compliance
date for updated
subparts I & Q

o

rsl

	3 years	

Dec. 16, 2016 *	Nov. 13, 2019

WIIN Act	The EPA proposed LCRR

passed	to update 40 C.F.R. Part

141 subpart I (LCR) and
to add Tier 1 lead ALE
public notification to
subpart Q

Source: OIG summary of events. (EPA OIG image)

fN
O
CM ¦

-14 months-

months

June 16, 2021

The EPA
published final
rule to revise
effective and
compliance
dates for the
updated
subparts I & Q

months

rN
O
CM"

3 years

Dec. 16, 2021

Updated
subparts I & Q
became
effective

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States Primacy Application Extension

One of the steps for states' compliance is to request EPA approval of its revised primacy program to
adopt new or revised regulations. To be granted primacy, states must adopt regulations which are no
less stringent than the national primary drinking water regulations. To retain primacy, 40 C.F.R. § 142.12
requires states to submit final requests to the EPA to approve program revisions that adopt the LCRR
requirements no later than two years after the promulgation date of the revised regulation, or by
January 2023. On December 17, 2021, the EPA extended this deadline to December 2023 because of the
additional time needed to comply with Executive Order 13990.

In December 2022, the Office of Ground Water and Drinking Water, or the OGWDW, issued a
memorandum to regional water divisions with guidance for states to apply for a primacy revision
application extension, as allowed under 40 C.F.R. § 142.12. The OGWDW issued the memorandum
based on the Agency's plans to further revise the LCR by October 2024. On December 6, 2023, the
Agency published its proposed revision, known as Lead and Copper Rule Improvements, or the LCRI, for
public comment. The Agency expects to issue the final rule for the LCRI prior to October 16, 2024.

The Agency encouraged states to request an extension to submit primacy revision applications so that
they could combine the LCRR and the LCRI into a single application to save time and resources. As of
April 2024, the Agency has received extension requests for all states with primacy, with the exception of
Colorado, Illinois, Indiana, and South Carolina. These four states will submit primacy revision
applications to the Agency now while the remaining states will have until December 2025. In the LCRI
proposed rule, the Agency stated that the EPA is retaining the October 2024 compliance date for the
Tier 1 lead ALE public notification for water systems. According to OGWDW official, until the EPA
approves the state program revision packages for the LCRR, the Agency will directly oversee water
system compliance regarding the Tier 1 lead ALE public notification requirements.

Tracking and Reporting for Exceedance of the Lead Action Level

States use the EPA's Safe Drinking Water Information System, known as SDWIS, to report data, including
tap water sampling results, water system noncompliance with drinking water regulations, and
enforcement actions.The LCR under 40 C.F.R. § 141.90 requires water systems to submit sample results
to the state within ten days following the end of the monitoring period. The new requirements starting
in October 2024, state that public water systems with lead exceedances must, pursuant to 40 C.F.R.
§ 141.31(d), also send a copy of the Tier 1 notices to the EPA and their states within 24 hours after
learning of a lead ALE.

States are required under 40 C.F.R. § 142.15(a) to submit quarterly reports to the EPA "on a schedule
and in a format prescribed by the Administrator." The regulation requires the quarterly reports to
include new violations of applicable drinking water regulations by public water systems and new
enforcement actions taken by the states against public water systems, among other things. In addition,
40 C.F.R. § 142.15(c)(4) requires states to report quarterly to the EPA "in a format and on a schedule

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prescribed by the Administrator/' the public water systems that exceeded the lead action level and the
date that the exceedance occurred.

According to the Office of Water, EPA Water Supply Guidance 113, Policy on Cutoff Dates for Submitting
Data to SDWIS/FED, issued on August 11, 1998, prescribed the schedule and format for quarterly report
submission consistent with the requirements under 40 C.F.R. § 142.15 (c)(4). According to the policy,
states have 90 days after the end of the quarter to upload data to SDWIS and make any necessary
corrections before the data become official for EPA reporting purposes.

Responsible Office

The OGWDW, which is within the EPA's Office of Water, oversees implementation of SDWA. The office
develops and supports implementation of national drinking water regulations; oversees and assists
funding of state drinking water programs and source water protection programs; builds capacity of
drinking water systems; and provides information about drinking water quality to the public, including
establishing guidance for public notifications.

The OGWDW consists of four divisions:

•	The Standards and Risk Management Division develops drinking water regulations.

•	The Drinking Water Capacity and Compliance Assistance Division implements drinking water
regulations, which includes developing and providing guidance to EPA regions, states, and public
water systems.

•	The Drinking Water Infrastructure Development Division maintains SDWIS.

•	The Water Infrastructure and Cyber Resilience Division supports the resilience of the water
sector to all types of hazards.

States perform the day-to-day activities to implement and enforce regulations at drinking water systems
within their jurisdictions to ensure that each water system meets state and EPA standards for safe
drinking water. The ten EPA regional offices oversee the states to ensure that they appropriately
implement drinking water standards.

The work under the OGWDW supports the following goals in the FY2022-2026 EPA Strategic Plan:

•	Goal 2: Take Decisive Action to Advance Environmental Justice and Civil Rights.

•	Goal 3: Enforce Environmental Laws and Ensure Compliance.

•	Goal 5: Ensure Clean and Safe Water for All Communities.

According to the OGWDW, the fiscal year 2023 Drinking Water Program budget for the Office of Water
was approximately $65 million and for the OGWDW was approximately $50.7 million, exclusive of state
and tribal grant programs.

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Scope and Methodology

We conducted this performance audit from November 2022 to December 2023 in accordance with
generally accepted government auditing standards. Those standards require that we plan and perform
the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and
conclusions based on our audit objective. We believe that the evidence obtained provides a reasonable
basis for our findings and conclusions based on our audit objective.

We assessed the internal controls necessary to satisfy our audit objective.4 In particular, we assessed
the internal control components—as outlined in the U.S. Government Accountability Office's Standards
for Internal Control in the Federal Government— significant to our audit objective. Any internal control
deficiencies we found are discussed in this report.

To answer the audit objective, we reviewed the applicable laws, regulations, preambles to the LCR
updates published in the Federal Register, and EPA policies. We met with staff and management at the
OGWDW, as well as EPA Regions 5 and 9, to obtain an understanding of the drinking water regulations,
rulemaking process, the Agency's implementation plans and progress, and primacy revision application
extension for the states. We also met with EPA regional staff to clarify their tracking and oversight of
sample results and lead ALEs.

We analyzed data in the Agency's SDWIS to determine the number of water systems with lead ALEs and
the population these systems served. At the time of our fieldwork, the most recent tap water sampling
results available in SDWIS was for the second quarter of fiscal year 2023, which ended on March 31,
2023. We downloaded the lead ALE report from SDWIS for sampling periods started after January 15,
2021, the date the EPA published the final rule that included the determination that a lead ALE requires
a Tier 1 public notification. The report shows all water systems with lead ALE for each sampling period
through March 31, 2023. To avoid recounting water systems that had exceedances in multiple sampling
periods, we eliminated the older entries so that we only counted each water system once. To determine
the number of people impacted, we looked at the most recent population count.

Prior Report

During this audit, we identified a concern that warranted the Agency's immediate attention: the public
was not promptly notified of lead ALEs. As a result, we issued a management alert titled The EPA Should
Determine What Interim Actions Can Be Taken to Immediately Notify the Public When Lead in Drinking
Water Exceeds the Agency's Action Level, Report No. 23-N-0024, on July 20, 2023. We recommended
that the Office of Water determine what immediate actions the Agency can take to promptly notify the
public of lead ALEs to reduce risks to human health pending the October 2024 compliance date for the
LCRR, including the Tier 1 lead ALE public notification requirements. The EPA agreed with our

4 An entity designs, implements, and operates internal controls to achieve its objectives related to operations,
reporting, and compliance. The U.S. Government Accountability Office sets internal control standards for federal
entities in GAO-14-704G, Standards for Internal Control in the Federal Government, issued September 10, 2014.

6


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recommendation and proposed corrective action, with which we accepted. The recommendation was
resolved in December 2023. In response to our recommendation, the OGWDW issued an
implementation memorandum in April 2024 to its regional water division directors urging them to
encourage states to use their existing authorities to work with water systems to provide Tier 1 lead ALE
public notification as soon as practicable but no later than 24 hours after the system learns of a lead ALE
in advance of the October 2024 regulatory compliance date.

Results

At the time of our audit, the EPA was not ready to comply with the public notification requirements
under section 2106 of the WIIN Act. On January 15, 2021, the EPA published a final rule to update
drinking water regulations to implement the WIIN Act public notification requirements. Water systems
must comply with these requirements by October 16, 2024, by issuing the Tier 1 lead ALE notices within
24 hours of learning of a lead ALE. Although the OGWDW said that it was in the process of developing a
strategy, it had not established a plan or milestones or provided guidance to help EPA regions, states,
and water systems to be ready to comply with the requirements by October 2024. The EPA also does
not receive data in a timely manner to oversee water system compliance and immediately notify the
public when a water system or state has not done so. The lack of timely notification may prolong public
exposure to lead exceedances without the public knowing about them. This is a significant health risk
because the EPA has determined that lead ALE has the potential to have serious adverse effects on
human health even with short-term exposure.

Lack of Implementation Plan for the Tier 1 Lead ALE Notice

As of August 2023, with more than half of the three-year preparation period passed, the OGWDW had
not developed a plan or established milestones for implementing the Tier 1 lead ALE notices or provided
guidance to the regions, states, or public water systems on the implementation steps and milestones.
The OGWDW explained at the time of the audit that the Agency did not have formal written procedures
for implementing new EPA regulations because the process varies based on the rule and the complexity
of the regulation. When asked about the procedures for implementing the Tier 1 lead ALE notification
requirements, OGWDW management said that the office plans to complete the steps generally used for
implementing new regulations, as summarized in Figure 2, by October 2024.

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Figure 2: Steps the OGWDW generally uses for implementing new water regulations

0
p
o

o

T

9

The OGWDW consults with regional LCR implementation workgroup members; data experts;
and other stakeholders, such as states, water utilities, and industry advocates.

The OGWDW makes internal decisions based on the information gathered from workgroup
members, data experts, and other stakeholders.

The OGWDW develops and issues guidance and other materials as appropriate, such as state
implementation guidance, delegations of authority, and standard operating procedures, and
provides training for states and water systems.

The EPA regions provide guidance to states.

To retain primacy, each state must adopt regulations no less stringent than the federal
regulation and submit its primacy revision package for the EPA's approval.

Upon the EPA's approval of the primacy revision package, each state would implement its
regulations and issue guidance to water systems under its jurisdiction.

Source: The EPA. (EPA OIG image)

As of August 2023, the OGWDW was at the first step of the rule implementation process, in which the
LCR implementation workgroup conducts periodic meetings to consider the LCRR implementation issues
and questions and to identify stakeholder needs. OGWDW management said that it was developing a
strategy to implement the Tier 1 lead ALE notification requirements. Specifically, it was exploring
methods for communicating lead ALE information and working with states to request an extension for
primacy revision applications. The extension will postpone the deadline for states to file the program
revision applications. OGWDW officials also said that, although Tier 1 notification for lead ALE is a new
requirement, the EPA and the OGWDW have been implementing public notification requirements since
1987. OGWDW officials said that the office has developed various guidance documents and trainings in
the past for public notifications and regulation implementation, and that it plans to complete the
preparation process for the new requirements by October 2024.

Although the EPA is working on methods for communicating lead ALE information, the Agency had not
issued any guidance or established milestones for implementation. While Tier 1 public notifications are
not new to the EPA, this is the first time the Agency is required to oversee compliance for lead ALE
public notification and provide the notices when water systems or states have not done so. This effort
may not be easy to implement given the requirement for the EPA to issue the Tier 1 lead ALE notices
within 24 hours after it is notified of the exceedance if the state or water system has not already
provided the notice. Without a written plan that includes milestone dates, the EPA does not have
reasonable assurance that the Agency, states, and water systems will be ready to comply with the
requirements by October 2024.

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In its February 2024 response to our draft report, the OGWDW stated that the workgroup will be
finalizing and delivering implementation guidance, tools, and training in 2024. Also, in response to our
recommendation in the management alert referenced in the "Prior Report" section, the OGWDW issued
an implementation memorandum in April 2024 to the EPA's regional water division directors. The
memorandum asked the regions to encourage states to use their existing authorities to work with water
systems to provide more rapid notices when there is a lead ALE before the October 2024 compliance
date. The memorandum also included a link to the Agency's public website where the OGWDW posted
its implementation tools, such as public notification templates, factsheets, and frequently asked
questions. These documents will be helpful in preparing water systems, states, and EPA regional offices
to comply with the notification requirements by October 2024.

Timely Data Needed for Compliance Oversight and Public Notification

The EPA lacks timely data needed to oversee lead ALE and water system compliance with the Tier 1 lead
ALE notification requirements. WIIN Act section 2106 requires the EPA to issue regulations for water
systems to send notifications to persons served, as well as to the EPA and their state, as soon as
practicable, but no later than 24 hours after a water system learns of a lead exceedance that "has the
potential to have serious adverse effects on human health as a result of short-term exposure." The WIIN
Act also requires the EPA to provide the notices if the responsible water system or state has not
provided them.

SDWIS contains information as to which water systems have identified lead ALE. However, states do not
have to upload data to SDWIS until 90 days after the end of the quarter, even though the LCR requires
water systems to submit tap water sampling results to states within ten days after the end of the
monitoring period. According to the EPA, this 90-day lag time allows states to verify the data. However,
this time lag makes it difficult for the EPA to oversee water system compliance with the Tier 1 lead ALE
notification requirements in a timely manner or provide the notices if the water system or state has not
done so, as required under the WIIN Act.

The OGWDW needs to develop procedures to receive and track lead exceedance data and notices in a
timely manner so that it can verify that water systems and states are notifying the public within
24 hours after learning of a lead ALE and the EPA can provide notices if needed. Although the proposed
LCRI provision, if included in the final rule, will shorten the lag time, from 90 day to 15 days after the end
of the quarter or 24 hours after receiving a lead ALE notification from a water system, the final rule for
the LCRI has not been promulgated. Once that is done, 40 C.F.R. § 142.12 will allow an additional two
years for states to submit their primacy applications with the updated regulation and another 90 days
for the EPA to approve or disapprove the applications. The Agency stated it expects to issue the LCRI
final rule prior to October 16, 2024, with a proposed compliance date in 2027. Until the LCRI final rule is
issued and states are required to comply with the new rule, the Agency should develop procedures to
obtain the lead ALE data as soon as the data is available to the states. The EPA could then determine in a
more timely manner whether water systems notified persons served about lead ALEs and take action
when the notification has not occurred.

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Lack of Timely Notification Prolongs Public Exposure to Health Risks

The EPA published a final rule for the LCR revisions on January 15, 2021, establishing that a lead ALE
requires Tier 1 public notification, which is the EPA's most urgent notification category under the
drinking water regulations and requires that the water systems notify persons served within 24 hours of
learning of the exceedance. The lack of timely EPA oversight and notification may delay the public from
receiving information about health risks and protection measures regarding lead. Based on the
90th percentile sample results reported in SDWIS, from January 15, 2021, through March 31, 2023, we
identified 498 water systems with lead ALEs. These systems served approximately 2.3 million people.

Until the Tier 1 lead ALE public notification requirements are implemented, people may continue being
exposed to this health risk without timely information on how to protect themselves. Prior to October
2024, water systems must distribute public notifications within 60 days after the end of the monitoring
period. With millions of people potentially affected by lead ALEs, water systems, states, and the EPA
need to be prepared to issue Tier 1 lead ALE notices beginning in October 2024 so that the public will be
immediately alerted to lead exceedances and informed of health risks and ways to protect themselves.

Conclusions

As provided by the WIIN Act section 2106 and based on the EPA's determination in 2021 that a lead
exceedance can have serious adverse effects on human health as a result of short-term exposure, the
public must be notified as soon as practicable but no later than 24 hours after the water system learns
of the exceedance. If the water system or state fails to provide the Tier 1 lead ALE notice, the EPA must
do so within 24 hours of being notified of the exceedance. Water systems must comply with the Tier 1
lead ALE public notification requirements starting in October 2024, eight years after the passage of the
WIIN Act. Further delays could occur if the EPA does not develop a plan for implementation, as well as
for identifying and reporting lead exceedances to the public. The OGWDW should act to ensure that the
EPA, states, and water systems are ready to comply with the requirements to prevent prolonging the
public's exposure to the health risks of lead in drinking water without timely notification.

Recommendations

We recommend that the assistant administrator for Water:

1.	Establish a plan for implementing the Tier 1 lead-action-level exceedance public notification
requirements, so that water systems, states, and the EPA are ready to comply by the October 16,
2024 compliance date.

2.	Develop procedures to receive and track lead-action-level exceedance information as soon as it is
available to the states to ensure compliance with the public notification requirements.

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Agency Response and OIG Assessment

The Office of Water concurred with our two recommendations and provided acceptable planned
corrective actions and estimated milestone dates. We consider these recommendations resolved with
corrective action pending.

For Recommendation 1, the Office of Water said that the Agency established a workgroup with states to
collaboratively develop a notification template to support implementation of the Tier 1 lead ALE notices.
The EPA plans to distribute the notification template to the EPA regions, states, and other stakeholders,
and publish it on the EPA's website by March 31, 2024. The template was issued to EPA regional offices
in April 2024 and posted on the Agency's public website.

The Office of Water also plans to issue a standard operating procedure describing the process to
distribute the Tier 1 lead ALE notices and notify the primacy agency and the EPA. In addition, the EPA
plans to test the standard operating procedures to ensure proper distribution and reporting of the Tier 1
lead ALE notices using a diverse set of EPA-identified water systems by August 31, 2024.

For Recommendation 2, the Office of Water said it plans to issue a standard operating procedure and
provide training on how the states and the EPA will implement receiving and tracking of the Tier 1 lead
ALE notices by October 16, 2024.

Appendix B contains the Office of Water's response to the draft report. The office also provided
technical comments, which we considered and incorporated as necessary.

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Status of Recommendations

RECOMMENDATIONS











Planned

Rec.

Page







Completion

No.

No.

Subject

Status1

Action Official

Date

10 Establish a plan for implementing the Tier 1 lead-action-level
exceedance public notification requirements, so that water
systems, states, and the EPA are ready to comply by the
October 16, 2024 compliance date.

10 Develop procedures to receive and track lead-action-level

exceedance information as soon as it is available to the states to
ensure compliance with the public notification requirements.

Assistant Administrator 8/31/24
for Water

Assistant Administrator 10/16/24
for Water

* C = Corrective action completed.

R = Recommendation resolved with corrective action pending.
U = Recommendation unresolved with resolution efforts in progress.

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Key Definitions

Appendix A

Tier 1 Lead ALE
Notice

As used in this report, it is the public notice required by the revisions to the LCR,
mandated by WIIN Act section 2106 amendment to SDWA and the public
notification regulations at 40 C.F.R. part 141, subpart Q, for a lead ALE that can
have serious adverse effects on human health as a result of short-term exposure.

Lead ALE

As provided in 40 C.F.R. § 141.80, the lead action level is exceeded when more than
10 percent of tap water samples collected during the monitoring period show a
lead concentration above 15 parts per billion.

LCRR

The January 2021 updates to the national primary drinking water regulations in
40 C.F.R. part 141, subpart I (Control of Lead and Copper, or the Lead and Copper
Rule) and subpart Q (Public Notification of Drinking Water Violations).

LCRI

The December 2023 proposed updates to the national primary drinking water
regulations which the Agency expects to issue final rules prior to October 16, 2024.

State

As used in this report, states, territories, and tribes which the EPA granted the
authority to have primary responsibility for administration and enforcement of the
drinking water regulations.

Public Water	As defined by 40 C.F.R. § 141.2, a system for the provision of public water for

System	human consumption that has at least 15 service connections or regularly serves an

average of at least 25 individuals daily at least 60 days out of the year.

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Appendix B

Agency's Response to the Draft Report

ASSISTANT ADMINISTRATOR FOR WATER

WASHINGTON, D.C. 20460

MEMORANDUM

SUBJECT:

FROM:
TO;

Response to Office of Inspector General Draft Report OA-FY23-0034, The EPA Should
Better Prepare to Implement Public Notification Requirements When Lead in Drinking
Water Poses Serious Risks to Human Health, dated December 18, 2023

For: Best-Wong,

Benita

Radhika Fox

Digitally sgned by Best-
Wong. Benita
Date: 202402.20
16:47:07 -05W

Sean O'Donnell, Inspector General

Thank you for the opportunity to respond to the recommendations in the draft report OA-FY23-
0034, The EPA Should Better Prepare to Implement Public Notification Requirements When Lead
in Drinking Water Poses Serious Risks to Human Health. The following is our position on each of
the draft report recommendations. The Office of Water concurs with Recommendations 1 and
2 and has provided suggested corrective actions for your consideration. Additionally, attached
are technical comments on the draft report.

Agency Response to Recommendations

OIG Recommendation 1

We recommend that the Assistant Administrator for Water establish a plan for implementing
the public notification requirements under section 2106 of the Water Infrastructure
Improvements for the Nation Act to ensure that water systems, states, and the EPA are ready
to comply with the requirements by the October 16, 2024, compliance date.

Response to OIG Recommendation 1 - Concur:

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OW concurs with Recommendation 1. There are several types of 24-hour notice
timelines added by WIIN [SDWA 1414(c)(2)(C), SDWA 1414(c)(2)(D), 1414(c)(5)(B)(iii)(l),
1414(c)(5)(B)(iv)(ll), and 40 CFR, Part 141.202]. Therefore, OW recommends when
referring to the Lead and Copper Rule Revisions' action level exceedance, Tier 1 public
notice, that the term Tier 1 ALE PN should be used as there are specific requirements
associated with this type of public notice. In addition, the EPA is now developing the
implementation plan for the Lead and Copper Rule Revisions, not the WIIN Act. The EPA
implemented the WIIN Act requirement to promulgate requirements for Tier 1 ALE PN
under the LCRR.

Proposed Corrective Actions:

OW proposes the following Corrective Actions to satisfy this recommendation:

1.	The EPA established a LCRR EPA and State Workgroup to collaboratively
develop a notification template to support implementation of the Tier 1 ALE
PN. The EPA will distribute the notification template to the EPA Regions,
states, and other stakeholders, and publish on the EPA's website. Expected
completion March 31, 2024.

2.	Finalize a Standard Operating Procedure describing the process to distribute
the Tier 1 ALE PN, notify the primacy agency and the EPA. In addition, the
EPA will pilot test the SOP to ensure proper distribution and reporting of the
Tier 1 ALE PN using diverse set of EPA-identified water systems. Expected
completion August 31, 2024.

OIG Recommendation 2

We recommend that the Assistant Administrator for Water develop procedures to receive and
track lead-action-level exceedance information as soon as it is available to the states to ensure
compliance with 24-hour public notice requirements.

Response to OIG Recommendation 2 - Concur:

OW concurs with Recommendation 2. There are several types of 24-hour notice
timelines added by WIIN [SDWA 1414(c)(2)(C), SDWA 1414(c)(2)(D), 1414(c)(5)(B)(iii)(l),
1414(c)(5)(B)(iv)(ll), and 40 CFR, Part 141.202]. Therefore, OW recommends when
referring to the Lead and Copper Rule Revisions' action level exceedance, Tier 1 public
notice, the term Tier 1 ALE PN should be used as there are specific requirements
associated with this type of PN.

Proposed Corrective Actions:

OW proposes the following Corrective Actions to satisfy this recommendation:

1. Finalize a Standard Operating Procedure describing how the primacy

agencies and the EPA will implement receiving and tracking the Tier 1 ALE PN

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associated with action level exceedances. Expected completion October 16,
2024.

2. Provide training targeted for the EPA Regional and primacy agency staff on
how to use the SOP to implement receiving and tracking the 24-hour public
notices. Expected completion September 30, 2024.

Thank you again for the opportunity to respond to the recommendations in the draft report
OA-FY23-0034. If you have any questions, please contact me or your staff may contact OW's
Audit Follow-Up Coordinator, Carla Hagerman, at Hagerman.Carla@epa.gov.

ATTACHMENT (1)

1. Technical Comments on the OIG Draft Report OA-FY23-0034

cc: Katherine Trimble, OIG
Shelley Howes, OIG
Michael D. Davis, OIG
Tim Roach, OIG
Benita Best-Wong, OW
Carla Hagerman, OW
Macara Lousberg, OW
Janita Aguirre, OW
Nancy Grantham, OW
Jennifer McLain, OGWDW
Yu-Ting Guilaran, OGWDW
Karen Wirth, OGWDW
Marietta Echeverria, OGWDW
Ron Bergman, OGWDW
Ed Moriarty, OGWDW
Faisal Amin, OCFO
Sue Perkins, OCFO
Andrew LeBlanc, OCFO

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Appendix C

Distribution

The Administrator

Deputy Administrator

Chief of Staff, Office of the Administrator

Deputy Chief of Staff for Management, Office of the Administrator

Agency Follow-Up Official (the CFO)

Assistant Administrator for Water

Regional Administrators, Regions 1-10

Agency Follow-Up Coordinator

General Counsel

Associate Administrator for Congressional and Intergovernmental Relations

Associate Administrator for Public Affairs

Principal Deputy Assistant Administrator for Water

Deputy Assistant Administrators for Water

Senior Advisor, Office of Water

Chief of Staff, Office of Water

Director, Office of Regional Operations

Director, Office of Continuous Improvement, Office of the Chief Financial Officer
Director, Office of Program Analysis, Regulatory, and Management Support
Associate Director, Office of Program Analysis, Regulatory, and Management Support
Director, Office of Ground Water and Drinking Water, Office of Water
Deputy Director, Office of Ground Water and Drinking Water, Office of Water
Office of Policy OIG Liaison
Office of Policy GAO Liaison

Audit Follow-Up Coordinator, Office of the Administrator
Audit Follow-Up Coordinator, Office of Water

Audit Liaison, Office of Ground Water and Drinking Water, Office of Water
Audit Follow-Up Coordinators, Regions 1-10

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Whistleblower Protection

U.S. Environmental Protection Agency

The whistleblower protection coordinator's role
is to educate Agency employees about
prohibitions against retaliation for protected
disclosures and the rights and remedies against
retaliation. For more information\, please visit
the OlG's whistleblower protection webpage.

Contact us:

Congressional Inquiries: OIG.CongressionalAffairs(5>epa.gov

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