National Health and Nutrition Examination Survey (NHANES)

Forms and Documents

Document Name	Status
NHANES 2011-12 Sup Stat B 20100622 clean copy.doc Supporting Statement B	2010-07-28
Attachment 12b PM informational flyer 2010.doc Supplementary Document	2010-07-28
Attachment 12a PM self assessment 2010.doc Supplementary Document	2010-07-28
Attachment 11 Special studyand pretest2010 .doc Supplementary Document	2010-07-28
Attachment 10 Report of findings 2010.doc Supplementary Document	2010-07-28
Attachment 9 MEC data collection form 2010.doc Supplementary Document	2010-07-28
Attachment 8 Laboratory component 2010.doc Supplementary Document	2010-07-28
Attachment 7 Analytic guidelines 2010.doc Supplementary Document	2010-07-28
Attachment 4 Letters and scripts 2010.doc Supplementary Document	2010-07-28
Attachment 3 Agencies consulted 2010.doc Supplementary Document	2010-07-28
Attachment 5 Informed consent brochure 2010.doc Supplementary Document	2010-07-28
Attachment 6 ERB 2010.doc Supplementary Document	2010-07-28
Attachment 2b Responces to 60-day FRN 2010.doc Supplementary Document	2010-07-28
Attachment 2a 60-day FRN2010.pdf Supplementary Document	2010-07-28
Attachment 1 Legislation 2010.doc Supplementary Document	2010-07-28
NHANES 2011-12 Sup Stat A 072110 clean copy.doc Supporting Statement A	2010-07-28

IC Document Collections

IC ID	Document Title	Status

ICR Details

OMB Control No: 0920-0237	ICR Reference No: 201008-0920-007
Status: Historical Inactive	Previous ICR Reference No: 200901-0920-003
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 09/23/2010
	Date Received in OIRA: 08/17/2010
Terms of Clearance: Please resubmit as a regular collection (not a generic). Please upload the survey instruments and MEC protocols as ICs. Thanks.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	36 Months From Approved	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 request seeks approval for the 2011-2012 survey, which has an Asian oversample added to the survey design.

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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
   US Code: 42 USC 242k Name of Law: National Center for Health Statistics
   PL: Pub.L. 104 - 170 301 Name of Law: The Food Quality Protection Act of 1996
  

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:
	75 FR 20599	04/20/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 44799	07/29/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 0

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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: $41,200,000

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]? No

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)? No

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: 08/17/2010

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