National Health and Nutrition Examination Survey (NHANES)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form None Assigned NHANES 2007-2008 Attachment 16 (Questionnaires)	Form and Instruction	New	Available
Form None Assigned NHANES 2007-2008 Attachment 16 (Questionnaires)	Form and Instruction	New	Available
Form None Assigned NHANES 2007-2008 Attachments 1-15	Form and Instruction	New	Available
Form None Assigned NHANES 2007-2008 Attachments 1-15	Form and Instruction	New	Available
Form None Assigned NHANES 2007-2008 Attachment 16 (Questionnaires)	Form and Instruction	New	Available
Form None Assigned NHANES 2007-2008 Attachment 16 (Questionnaires)	Form and Instruction	New	Available
Updated_NHANES 2007-2008 Attachments 1-15.doc	Supplementary Document	Uploaded 2006-11-24	Available
Updated_NHANES 2007-2008 Attachment 16 (Questionnaires).doc	Supplementary Document	Uploaded 2006-11-24	Available
NHANES 2007-2008 SS sections B.doc	Supporting Statement B	Uploaded 2006-10-03	Available
60-Day FRN - 0927 - 4-3-2006.htm	Supplementary Document	Uploaded 2006-10-03	Available
Updated_NHANES 2007-2008 sections A and B.doc	Supporting Statement A	Uploaded 2006-11-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45658	National Health and Nutrition Examination Survey (NHANES) - Follow up, special studies, and tests of procedures		New
45657	National Health and Nutrition Examination Survey (NHANES) - Telephone interview (FCBS)	Form and Instruction	New	NHANES 2007-2008 Attachment 16 (Questionnaires)
45656	National Health and Nutrition Examination Survey (NHANES) - Screener, family, and sample person interviews only	Form and Instruction	New	NHANES 2007-2008 Attachment 16 (Questionnaires)
45655	National Health and Nutrition Examination Survey (NHANES) - Secondary Dietary recall interview	Form and Instruction	New	NHANES 2007-2008 Attachments 1-15
45654	National Health and Nutrition Examination Survey (NHANES) - Screener, family, and sample person interviews and MEC examination (including pilot studies)	Form and Instruction	New	NHANES 2007-2008 Attachments 1-15
45654	National Health and Nutrition Examination Survey (NHANES) - Screener, family, and sample person interviews and MEC examination (including pilot studies)	Form and Instruction	New	NHANES 2007-2008 Attachment 16 (Questionnaires)
45653	National Health and Nutrition Examination Survey (NHANES) - Screening interview only	Form and Instruction	New	NHANES 2007-2008 Attachment 16 (Questionnaires)

ICR Details

OMB Control No: 0920-0237	ICR Reference No: 200610-0920-003
Status: Historical Active	Previous ICR Reference No: 200608-0920-003
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: 11/28/2006
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/13/2006
Terms of Clearance: NCHS will collaborate with the Perchlorate Interagency Working Group to identify and prioritize analytes and covariates important for examining the potential health implications related to perchlorate exposure. NCHS should continue to inform OMB on the development of specific criteria for both listing and de-listing chemical analytes from the NHANES portfolio. With respect to conducting any pilot or nonresponse studies, OMB should be provided with a formal request that describes the specific study design, need for the information, and response burden. OMB will respond within three weeks indicating approval, disapproval, or passback exchanges seeking further information. No pilot or nonresponse studies should be conducted without receipt of approval from OMB.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	36 Months From Approved	03/31/2007
Responses	30,113	0	22,913
Time Burden (Hours)	59,864	0	63,092
Cost Burden (Dollars)	0	0	0

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Abstract: The National Health and Nutrition Examination Survey (NHANES) is a continuous nationally representative sample of the civilian, non-institutionalized U.S. population. The survey is unique in that it contains interview, laboratory and physical examination segments. The examination component is conducted in mobile examination centers that travel to fifteen survey locations each year. NHANES data have been the cornerstone for numerous national health and nutrition policy and surveillance activities.

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Authorizing Statute(s): PL: Pub.L. 104 - 170 301 Name of Law: The Food Quality Protection Act of 1996
   PL: Pub.L. 101 - 445 103 Name of Law: The National Nutrition Monitoring and Related Reseach Act of 1990
   US Code: 42 USC 242k Name of Law: National Center for Health Statistics
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 16580	04/03/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 55797	09/25/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
National Health and Nutrition Examination Survey (NHANES) - Follow up, special studies, and tests of procedures
National Health and Nutrition Examination Survey (NHANES) - Screener, family, and sample person interviews and MEC examination (including pilot studies)	None Assigned, None Assigned	NHANES 2007-2008 Attachment 16 (Questionnaires) ,   NHANES 2007-2008 Attachments 1-15
National Health and Nutrition Examination Survey (NHANES) - Screener, family, and sample person interviews only	None Assigned	NHANES 2007-2008 Attachment 16 (Questionnaires)
National Health and Nutrition Examination Survey (NHANES) - Screening interview only	None Assigned	NHANES 2007-2008 Attachment 16 (Questionnaires)
National Health and Nutrition Examination Survey (NHANES) - Secondary Dietary recall interview	None Assigned	NHANES 2007-2008 Attachments 1-15
National Health and Nutrition Examination Survey (NHANES) - Telephone interview (FCBS)	None Assigned	NHANES 2007-2008 Attachment 16 (Questionnaires)

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ICR Summary of Burden

table that charts list 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	30,113	22,913	0	7,200	0	0
Annual Time Burden (Hours)	59,864	63,092	0	-3,228	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: Miscellaneous Actions

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

Burden Reduction Due to: Changing Forms

Short Statement: There are fewer examinations and tests being done, so burden hours are reduced.

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Annual Cost to Federal Government: $40,350,000

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: 10/05/2006

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