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88823 
Technical Report 
EPA Report 
Supplemental guidance for assessing susceptibility from early-life exposure to carcinogens 
U.S. Environmental Protection Agency :: U.S. EPA 
2005 
Yes 
U.S. Environmental Protection Agency, Risk Assessment Forum 
Washington, DC 
EPA/630/R-03/003F 
126 
English 
is a supplement to 6324329 Guidelines for carcinogen risk assessment
In 1983, the National Academy of Sciences (NAS)/National Research Council (NRC) published its report entitled Risk Assessment in the Federal Government: Managing the Process. In that report, the NRC recommended that Federal regulatory agencies establish ""inference guidelines"" to promote consistency and technical quality in risk assessments and to ensure that the risk assessment process was maintained as a scientific effort separate from risk management. EPA responded to this recommendation by publishing a set of risk assessment guidelines in 1986, including the Guidelines for Carcinogen Risk Assessment (51 FR 33992, September 24, 1986).
EPA began revising the 1986 cancer guidelines in light of significant advances in our understanding of the processes of carcinogenesis and the modes of actions of disease at the cellular level. Revising the cancer guidelines is in keeping with EPA's original intent when it issued the first set of final risk assessment guidelines in 1986. The risk assessment guidelines were meant to be dynamic, flexible documents that would evolve to reflect the current state of the science and risk assessment practices. In keeping with this, EPA undertook an effort to revise the cancer guidelines as described below in the History and Chronology section. 
Risk; Risk Assessment; Carcinogens 
• Ammonia
     Literature Search – March 2012 (private)
     Literature Search Results
     Not Chemical Specific
          Guidance, notices
     Cited 2016
          ToxReview
• Arsenic Hazard ID
• Arsenic (Inorganic)
     Cited in Volume 1
• Asbestos
• Benzo(a)pyrene (BaP)
     Considered
     Cited
          Guidance
          Carcinogenicity
• Biphenyl
     Considered
     Cited References
          Guidance
• tert-Butanol
     Cited in Document
• n-Butanol
     • Cited 2016 Public Comment Draft
          Tox Review
• tert-Butanol
     Cited in Public Comment Draft – May 2016
          Toxicological Review
• Chloroform Combined (current)
     Chloroform (original)
     Chloroform (current)
• Chloroprene
     Cited 2009 Draft
     Cited 2010 Final
• Chromium VI
     Cited in Document
• Cobalt
     Cobalt IAP/Protocol
          Exclude
     References from Other Sources
          PPRTV
• DCM (Dichloromethane) (Final, 2011)
• 1,4-Dioxane - with inhalation update
     Final (2013)
     External Review Draft (2011)
• ETBE
• Ethylbenzene
     Protocol template references
• Formaldehyde
     UR Cancer MOA
     Cited in text
     Retroactive RIS import
          Pre2013
               Formaldehyde IRIS 2011
                    Old references
                    Standard IRIS references
• Hexabromocyclododecane (HBCD)
• Inorganic Mercury Salts (2)
     Litcite References – Protocol
• Libby Amphibole Asbestos (Draft, 2011)
• Methanol (Non-Cancer)
     Cited in Final (2013)
     Cited in External Review Draft (2013)
     Ramazzini
• Methylmercury
• Naphthalene
• Nitrate/Nitrite
     Other resources cited in assessment
• PCBs
     Cited (Nov 2012)
     IRIS assessment protocol template
• RDX (121-82-4)
     Cited 2015 (private)
• Tetrachloroethylene (Perc) (Final, 2012)
     Hazard
          Susceptibility
• Trichloroacetic acid (TCA) (Final, 2011)
• Trichloroethylene (TCE) (Final, 2011)
     All References
     Hazard
     Kidney
     Liver
     Respiratory
     Susceptibility
     Dose-Response
     Cancer
• Trimethylbenzenes (Interagency Science Discussion Draft)
• Trimethylbenzenes (TMB)
     Considered Studies
          Other
     Cited Studies
          Guidance
          EPA
     Cited in Tox Review – Revised TMBs Draft
     Cited in Revised TMBs Draft - All
• Uranium Toxicological Review
     Additional Strategies
• Vanadium Compounds - Problem Formulation
     Manual review of existing IRIS and PPRTV assessments
          IRIS 2011/2014
          PPRTV 2008
     Combined data set
          Dataset for title/abstract screening
               Excluded- PECO criteria not met (TIAB)
• Vanadium Inhalation
     Combined Dataset
          Dataset for title/abstract screening
               Excluded- PECO criteria not met (TIAB)
     Cited in Protocol
• Vanadium Pentoxide (Draft, 2011)
NAAQS
• ISA-Lead (2013 Final Project Page)
• ISA-NOx (2016)
• ISA-Ozone (2013 Final Project Page)
• ISA-Ozone (2020 Final Project Page)
• ISA-PM (2009 Final Project Page)
• ISA-PM (2019)
• ISA-SOx
OPPT REs
• OPPT_1,4-Dioxane_A. Summary
• OPPT_1,4-Dioxane_C. Engineering
     Data screening total
          Screening: Excluded
• OPPT_1,4-Dioxane_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_1,4-Dioxane_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_1,4-Dioxane_F. Human Health
     Total – title/abstract screening
          Off topic
• OPPT_1-Bromopropane (1-BP)_A. Summary
     Cited in TSCA RE related document
• OPPT_Carbon Tetrachloride_C. Engineering
     Total – title/abstract screening
          Off topic
• OPPT_Carbon Tetrachloride_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_Carbon Tetrachloride_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_Carbon Tetrachloride_F. Human Health
     Total – title/abstract screening
          Off topic
• OPPT_Cyclic Aliphatic Bromine Cluster (HBCD)_F. Human Health
     Total – title/abstract screening
          On topic
               Peer review
                    Secondary source/ Review
               Cited in IRIS document or IRIS HERO page
• OPPT_Methylene Chloride_A. Summary
• OPPT_Methylene Chloride_C. Engineering
     Total – title/abstract screening
          Off topic
• OPPT_Methylene Chloride_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_Methylene Chloride_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_Methylene Chloride_F. Human Health
     Total – title/abstract screening
          Off topic
• OPPT_Perchloroethylene (Perc)_A. Summary
• OPPT_Perchloroethylene (Perc)_C. Engineering
     Total – title/abstract screening
          Off topic
• OPPT_Perchloroethylene (Perc)_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_Perchloroethylene (Perc)_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_Perchloroethylene (Perc)_F. Human Health
     Total – title/abstract screening
          Off topic
• OPPT_Trichloroethylene (TCE)_A. Summary
• OPPT_Trichloroethylene (TCE)_C. Engineering
     Total – title/abstract screening
          Off topic
• OPPT_Trichloroethylene (TCE)_D. Exposure
     Total – title/abstract screening
          Off topic
• OPPT_Trichloroethylene (TCE)_E. Fate
     Total – title/abstract screening
          Off topic
• OPPT_Trichloroethylene (TCE)_F. Human Health
     Total – title/abstract screening
          Off topic
PFAS
• PFBA
     Protocol References
• PFBS
• PFOA and PFOS OW MCLG Approaches
     Cited in White Papers
• Exposure Factors Handbook (Post 2011)
     Chapter 1
     Chapter 6
• Nanoscale Carbon
• Nanoscale Silver
• Project 9 – Soil and Dust Ingestion
     Cited October 2016
          Carcinogenicity Assessment- Cited
          Supplemental Information - Cited
• Ramazzini Institute