NHANES Questionnaire

National Health and Nutrition Examination Survey

OMB: 0920-0950

IC ID: 213574

Information Collection (IC) Details

View Information Collection (IC)

NHANES Questionnaire 0920-0950
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0950 NHANES Questionnaire and Data Collection Forms 2017-18 Att_3b_Questionnaires 101816.docx Yes Yes Fillable Printable

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples of the US Population  49 FR 37693

14,410 0
   
Individuals or Households
 
   100 %

  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 14,410 0 0 0 0 14,410
Annual IC Time Burden (Hours) 36,025 0 0 0 0 36,025
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 3a_Summary of 2017-18 Questionnaire Changes Att_3a_Question Changes100516.docx 11/01/2016
Att 3c_Questionnaire & Data Collections FOrms 2015-16 Att_3c _Questionnaire 15-16 101816.docx 11/01/2016
Att 3d_Hand Cards 2015-16 Att_3d HH_Hand Cards 15-16.docx 11/01/2016
Att 8 Letters_scripts Att_8 _Letters_scripts 17-18 100516.docx 11/01/2016
Att 9a_Consent Forms Att_9a_Consents_17-18 100516.docx 11/01/2016
Att 9b_Adult Consent Brochure ATT_9b_Adult Consent Brochure 100516.pdf 11/01/2016
Att 9c_ Child Assent Brochure Att_9c_Child_Assent_17-18 062818.docx 11/01/2016
Att 9d_Consents FAQ Att_9d_Consents FAQ_17-18 101816.docx 11/01/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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