Information Collection

NHANES Special Studies

IC 213575 under ICR 201412-0920-015 · OMB 0920-0950.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0950 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NHANES Special Studies	Form
Special Studies Att_10_Spec_Studies 15-16 100114.docx	Form
NHANES oral HPV Follow-Up Feasibility Study Questioinnai NHANES Oral HPV follow-up_OMB attachment 121114.docx	Form and Instruction

IC Title:

NHANES Special Studies

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Special Studies	Att_10_Spec_Studies 15-16 100114.docx		Yes	Yes	Fillable Fileable
Form and Instruction	None	NHANES oral HPV Follow-Up Feasibility Study Questioinnaire	NHANES Oral HPV follow-up_OMB attachment 121114.docx	None	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the US Population

FR Citation: 79 FR 20204

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	7,500	7,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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