National Health and Nutrition Examination Survey (NHANES)--2009-2010

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Fluorosis Study Forms	Form	New	Available
Form unnumbered Att. A. Dried Blood Spot Protocol	Form	New	Available
NHANES 83-C questionnaire_final.doc	Supplementary Document	Uploaded 2008-12-18	Available
NHANES 83-C justification to update forms_final.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-12-15	Available
NHANES Supporting Statement A to update forms_ final.doc	Supporting Statement A	Uploaded 2008-12-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192658	Pilot Testing on New NHANES 2009-10 Content	Instruction	New
190719	NHANES Fluorosis Methodology Study	Form	New	Fluorosis Study Forms
189814	National Health and Nutrtion Examination Survey	Form	New	Att. A. Dried Blood Spot Protocol

ICR Details

OMB Control No: 0920-0237	ICR Reference No: 200901-0920-003
Status: Historical Active	Previous ICR Reference No: 200811-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Health and Nutrition Examination Survey (NHANES)--2009-2010
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/07/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/06/2009
Terms of Clearance: This submission satisfies term (3); Other terms continue.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	12/31/2011	12/31/2011
Responses	22,813	0	22,813
Time Burden (Hours)	49,626	0	49,626
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. This requests seeks approval for the 2009-2010 survey.

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Authorizing Statute(s): PL: Pub.L. 101 - 445 103 Name of Law: The National Nutrition Monitoring and Related Reseach Act of 1990
   PL: Pub.L. 104 - 170 301 Name of Law: The Food Quality Protection Act of 1996
   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:
	73 FR 38224	07/03/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 63477	10/24/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
NHANES Fluorosis Methodology Study	none	Fluorosis Study Forms
National Health and Nutrtion Examination Survey	unnumbered	Att. A. Dried Blood Spot Protocol
Pilot Testing on New NHANES 2009-10 Content

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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	22,813	22,813	0	0	0	0
Annual Time Burden (Hours)	49,626	49,626	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

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: $41,350,000

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: 01/06/2009

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