Special Studies and Pretests

National Health and Nutrition Examination Survey

Att A Urine Collection 3-5 yr olds 051513

Special Studies and Pretests

OMB: 0920-0950

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Attachment A.


National Health and Nutrition Examination Survey (NHANES)

Urine Collection Feasibility Study In Children Ages 3-5 Years Old

OMB no. 0920-0950

Expires: 11/30/2015


Assurance of confidentiality – All information which would permit identification of an

individual, a practice, or an establishment will be held confidential, will be used for

statistical purposes only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).


Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road, MS D-74, Atlanta, GA 30333. ATTN: PRA (0920-0950).


NHANES Urine Collection Feasibility Study (3-5 year olds)


Eligibility: All NHANES participants 3-5 years old at multiple locations who agree to participate in the NHANES exam and who will be coming to mobile examination center (MEC) to complete other previously OMB-approved survey components. The maximum number of respondents would be 125.


Informed Consent: Written informed consent will be obtained as part of the regular National Health

and Nutrition Examination Survey (NHANES) consent process in the Mobile Examination Center

(MEC) exam.


Exclusion Criteria: There are no exclusion criteria for this study.


Specimen Collection: The spot urine collection in 3-5 year olds will be done in the NHANES MEC during participants’ regularly scheduled NHANES visits. These 3-5 year old will be helped by an accompanying adult in the MEC restrooms.

Report of Findings: The only finding reported to the participant is total urinary arsenic. Other environmental chemicals tested in the urine are not considered reportable and are just being tested to determine if the collection method works, if the response rate is sufficient in this age group, and that sufficient sample amounts can be obtained from these participants.



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File TitleAttachment A
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File Modified2013-05-16
File Created2013-05-16

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