Information Collection

NHANES Fluorosis Methodology Study

IC 190719 under ICR 200901-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
NHANES Fluorosis Methodology Study	Form
Fluorosis Study Forms Attachment B Thai Fluorosis 2010.doc	Form
NHANES 10-day THAI fluorosis test ATT A 090909.doc Protocol for Fluorosis Methodology Study	IC Document
NHANES 10-day THAI fluorosis test 090909.doc Justification - Supporting Statement	IC Document

IC Title:

NHANES Fluorosis Methodology Study

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	none	Fluorosis Study Forms	Attachment B Thai Fluorosis 2010.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 0920-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population

FR Citation: 49 FR 37693

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	150	0	0	0	0	0
Annual IC Time Burden (Hours)	38	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Protocol for Fluorosis Methodology Study	NHANES 10-day THAI fluorosis test ATT A 090909.doc	09/14/2009
Justification - Supporting Statement	NHANES 10-day THAI fluorosis test 090909.doc	09/14/2009

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