Information Collection

National Health and Nutrition Examination Survey (NHANES) - Screening interview only

IC 45653 under ICR 200610-0920-003 · OMB 0920-0237.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0237 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form None Assigned National Health and Nutrition Examination Survey (NHANES) - Screening interview only	Form and Instruction
None Assigned NHANES 2007-2008 Attachment 16 (Questionnaires) Updated_NHANES 2007-2008 Attachment 16 (Questionnaires).doc	Form and Instruction

IC Title:

National Health and Nutrition Examination Survey (NHANES) - Screening interview only

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None Assigned	NHANES 2007-2008 Attachment 16 (Questionnaires)	Updated_NHANES 2007-2008 Attachment 16 (Questionnaires).doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probability Samples of the US Population, #09-20-0164

FR Citation: 49 FR 37693

Number of Respondents: 13,333

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,333	-9,580
Annual IC Time Burden (Hours)	2,222	-60,789
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.