Information Collection Request

[NCHS] National Health and Nutrition Examination Survey (NHANES)

ICR 202409-0920-012 · OMB 0920-0950 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0950 Hour Wearable Devices Form and Instruction Removed Available
Form 0920-0950 24 Hour Wearable Devices Form and Instruction Removed Repair queued
Form 0920-0950 Developmental Projects & Special Studies Testing Form and Instruction Modified Available
Form 0920-0950 Developmental Projects & Special Studies Testing Form and Instruction Modified Repair queued
Form 0920-0950 Dietary Interview Day 2 Instrument Form and Instruction Modified Available
Form 0920-0950 Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction Modified Repair queued
Form 0920-0950 Flexible Consumer Behavior Survey Instrument Form and Instruction Modified Available
Form 0920-0950 MEC and Dietary Reminder Call Instrument Form and Instruction Modified Available
Form 0920-0950 Dietary Incentive and Scheduling Instrument Form and Instruction Modified Available
Form 09520-0950 Dietary Interview Front End Instrument Form and Instruction Modified Available
Form 0920-0950 MEC and Dietary Recruitment and Scheduling Instrument Form and Instruction Modified Available
Form 0920-0950 Dietary Interview Day 1 Instrument Form and Instruction Modified Available
Form 0920-0950 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction Modified Repair queued
Form 0920-0950 MEC Exam and Interview Data Collection Form and Instruction Modified Available
Form 0920-0950 Survey Participant Questionnaire Form and Instruction Modified Repair queued
Form 0920-0950 Survey Participant Questionnaire Form and Instruction Modified Repair queued
Form 0920-0950 Household Questionnaire Form and Instruction Modified Repair queued
Form 0920-0950 Household Screener Questionnaire Form and Instruction Modified Repair queued
Form 0920-0950 Household Screener Questionnaire Form and Instruction Modified Repair queued
Attachment_5_Summary of Questionnaire Changes_2025-2026_2025FEB14.docx Supplementary Document Uploaded 2025-03-25 Repair queued
Attachment_14_2025-26 NHANES (Title change for IC Forms).docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_14_2025-26 NHANES (Title change for IC Forms).docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_12_ERBApproval_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_12_ERBApproval_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_11d_Material_Handouts_2024JULY16.pdf Supplementary Document Uploaded 2024-09-23 Available
Attachment_11d_Material_Handouts_2024JULY16.pdf Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_11b_Consent_Materials_2024JULY16.pdf Supplementary Document Uploaded 2024-09-23 Available
Attachment_11b_Consent_Materials_2024JULY16.pdf Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_10_NHANES History_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_10_NHANES History_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_9_Agencies Consulted_2025-2026_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_9_Agencies Consulted_2025-2026_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_8_Lab_Assessments_2025-2026 and earlier_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_8_Lab_Assessments_2025-2026 and earlier_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_7_DevelopmentalProjectReport_Child Blood Pressure_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_7_DevelopmentalProjectReport_Child Blood Pressure_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_5_Summary of Questionnaire Changes_2025-2026_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_4_Sample Design Tables 2025-2026_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_4_Sample Design Tables 2025-2026_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_3_NHANES_Changes in 2025_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
Attachment_3_NHANES_Changes in 2025_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_1_Applicable_Laws_Regulations_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Available
Attachment_1_Applicable_Laws_Regulations_2024JULY16.docx Supplementary Document Uploaded 2024-09-23 Repair queued
2025-2026_SupportingStatementA_2025FEB14.docx Supporting Statement A Uploaded 2025-03-25 Repair queued
Sup_Stat_A_02222023.docx Supporting Statement A Uploaded 2023-03-06 Repair queued
2025-2026_SupportingStatementB_2025FEB14.docx Supporting Statement B Uploaded 2025-03-25 Repair queued
2025-2026_SupportingStatementB_2024 Aug 30 clean.docx Supporting Statement B Uploaded 2024-09-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
245125 24 Hour Wearable Devices Form and Instruction RemovedHour Wearable Devices
245125 24 Hour Wearable Devices Form and Instruction Removed
245124 Developmental Projects & Special Studies Testing Form and Instruction ModifiedDevelopmental Projects & Special Studies Testing
245124 Developmental Projects & Special Studies Testing Form and Instruction Modified
245123 Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction ModifiedDietary Interview Day 2 Instrument
245123 Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction Modified
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedFlexible Consumer Behavior Survey Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedMEC and Dietary Reminder Call Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedDietary Incentive and Scheduling Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedDietary Interview Front End Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedMEC and Dietary Recruitment and Scheduling Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction ModifiedDietary Interview Day 1 Instrument
245121 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction Modified
245120 MEC Exam and Interview Data Collection Modified
245120 MEC Exam and Interview Data Collection Form and Instruction Modified
245119 Survey Participant Questionnaire Form and Instruction ModifiedSurvey Participant Questionnaire
245119 Survey Participant Questionnaire Instruction Modified
245119 Survey Participant Questionnaire Form and Instruction Modified
245118 Household Screener Questionnaire Form and Instruction ModifiedHousehold Questionnaire
245118 Household Screener Questionnaire Form and Instruction ModifiedHousehold Screener Questionnaire
245118 Household Screener Questionnaire Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 04/30/2025
32,544 0 35,200
36,540 0 65,630
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
24 Hour Wearable Devices 0920-0950
Day 1 and Day 2 Telephone Dietary Recall & Follow-up 0920-0950, 0920-0950, 0920-0950, 09520-0950, 0920-0950, 0920-0950 ,   ,   ,   ,   ,  
Developmental Projects & Special Studies Testing 0920-0950
Flexible Consumer Behavior Survey Phone Follow-Up 0920-0950
Household Screener Questionnaire 0920-0950, 0920-0950 ,  
MEC Exam and Interview Data Collection 0920-0950
Survey Participant Questionnaire 0920-0950

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 32,544 35,200 0 -2,656 0 0
Annual Time Burden (Hours) 36,540 65,630 0 -29,090 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No