Information Collection

Feasibility Study to Identify Physical Activity and Oral Health Study and 24 Hour Urine Study and Birth Cert Linkage Study

IC 197265 under ICR 201010-0920-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Feasibility Study to Identify Physical Activity and Oral Health Study and 24 Hour Urine Study and Birth Cert Linkage Study	Form and Instruction
Children and Adolescent Physical Activity - Health Measu NHANES Att A Mar 2011.doc	Form and Instruction
Birth Certificate Linkage NHANES Att D Mar 2011.doc	Form and Instruction
Oral Health Dental Fluorosis Imaging NHANES Att B Mar 2011.doc	Form and Instruction
24 Hour Urine Sodium Calibration NHANES Att C Mar 2011.doc	Form and Instruction
NHANES Mar 2011 special studies combo letter.doc Letter to Dr. Schwab	IC Document
NHANES Att D Mar 2011.doc Protocol for Birth Certificate Linkage Study	IC Document
NHANES Att B Mar 2011.doc Protocol for Oral Health - Dental Fluorosis Imaging/Examination Feasibility Study	IC Document
NHANES Att C Mar 2011.doc Protocol for 24 Hour Urine Sodium Calibration Study	IC Document
NHANES Att A April 2011.doc Protocol for Physical Activity Feasibility test	IC Document
NHANES sup st non substative change revised April 2011.doc Supporting Statement -revised	IC Document

IC Title:

Feasibility Study to Identify Physical Activity and Oral Health Study and 24 Hour Urine Study and Birth Cert Linkage 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Children and Adolescent Physical Activity - Health Measurement List	NHANES Att A Mar 2011.doc	No	No	Paper Only
Form and Instruction	none	Birth Certificate Linkage	NHANES Att D Mar 2011.doc	No	No	Paper Only
Form and Instruction	none	Oral Health Dental Fluorosis Imaging	NHANES Att B Mar 2011.doc	No	No	Paper Only
Form and Instruction	none	24 Hour Urine Sodium Calibration	NHANES Att C Mar 2011.doc	No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

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

FR Citation: 49 FR 37693

Number of Respondents: 939

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	1,072	0	0	0	0	0
Annual IC Time Burden (Hours)	2,037	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
Letter to Dr. Schwab	NHANES Mar 2011 special studies combo letter.doc	03/31/2011
Protocol for Birth Certificate Linkage Study	NHANES Att D Mar 2011.doc	03/31/2011
Protocol for Oral Health - Dental Fluorosis Imaging/Examination Feasibility Study	NHANES Att B Mar 2011.doc	03/31/2011
Protocol for 24 Hour Urine Sodium Calibration Study	NHANES Att C Mar 2011.doc	03/31/2011
Protocol for Physical Activity Feasibility test	NHANES Att A April 2011.doc	04/29/2011
Supporting Statement -revised	NHANES sup st non substative change revised April 2011.doc	04/29/2011

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