National Health and Nutrition Examination Survey (NHANES)

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
6702	National Health and Nutrition Examination Survey (NHANES)		Migrated

ICR Details

OMB Control No: 0920-0237	ICR Reference No: 200011-0920-003
Status: Historical Active	Previous ICR Reference No: 199906-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Health and Nutrition Examination Survey (NHANES)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/10/2001
	Date Received in OIRA: 11/03/2000
Terms of Clearance: Approved consistent with clarifications in CDC memos of 12-20-00 and 1-4-01. Approval is for two years due to the frequent changes in this collection. Previous terms of clearance remain in effect as described below. 1. NCHS shall notify OMB of any minor changes to the collection through a letter. OMB will have 10 days to respond to such changes. 2. New components or substantial revisions to the collection including the integration of the CFSII shall be submitted with the full package through the standard PRA process. 3. NCHS shall notify OMB of revisions to testing or and diag- nostics through a letter which OMB will have 10 working days to review. 4. NCHS shall submit pilot tests for new components to OMB (the new components themselves are subject to term # 2) and OMB will have 10 working days to review the submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2003	01/31/2003	08/31/2002
Responses	22,175	0	23,051
Time Burden (Hours)	51,742	0	51,414
Cost Burden (Dollars)	0	0	0

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Abstract: NHANES will draw a large scientific sample of individuals of all ages from the U.S. population and give them a voluntary interview and physical examination to measure health and nutritional status. This will allow estimation of the prevalence of diseases, risk factors, and of baseline health and nutritional measures in the population.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
National Health and Nutrition Examination Survey (NHANES)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,175	23,051	0	-876	0	0
Annual Time Burden (Hours)	51,742	51,414	0	328	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

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

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

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

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

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

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

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

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

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

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

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

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

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/03/2000

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