Flexible Consumer Behavior Survey Phone Follow-up

Attachment 13a

Flexible Consumer Behavior Survey (FCBS)

Form Approved OMB No. 0920-0950 Exp. Date xx/xx/20xx

Assurance of Confidentiality – All information which would permit identification of an individual, a practice, or an establishment will be held confidential, will be used 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). By law, every employee as well as every agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you.

NOTICE-Public reporting burden of this collection of information is estimated to average 20 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).

Flexible Consumer Behavior Survey (FCBS)

Eligibility: Participants 1 year and older are eligible. The maximum number of respondents would be 5,000.

Informed Consent: Informed consent will be obtained as part of the regular NHANES consent process for the examination in the MEC.

Exclusion Criteria: There are no exclusion criteria.

Data Collection: In 2017-2018 we will bring back the Flexible Consumer Behavior Survey Phone Follow-Up questionnaire.  It will be administered over the phone, after the second dietary recall is completed.  SPs 16 and older will respond for themselves and a proxy will respond for those who are 1-15 years.  The main meal shopper/planner will be asked to respond for those who are 1-15 years (same as in 2009-2010). 

The questionnaire will include 43 questions (plus 9 questions on respondent information).  Of the 43 questions, 23 are new and 18 are from 2009-2010, and 2 are in the MCQ questionnaire.   Of the 18 from the previous cycle, 6 were revised.

Report of Findings: None

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