MEC Exam and Interview Data Collection

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

Documents and Forms

Document Name Document Type
Form 0920-0950 MEC Exam and Interview Data Collection Form and Instruction
0920-0950 MEC Examination and Interview Data Collection Forms Attachment_6g_MEC Exam and Interview Data Collection_2024JULY16.docx Form and Instruction
Attachment_11e_MEC_Examination_Materials_2024JULY16.pdf MEC Examination Materials IC Document
Attachment_11f_MEC_Examination_Results_2024JULY16.pdf MEC Examination Results IC Document

Information Collection (IC) Details

IC Title:	MEC Exam and Interview Data Collection	Agency IC Tracking Number:	0920-0950

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0950	MEC Examination and Interview Data Collection Forms	Attachment_6g_MEC Exam and Interview Data Collection_2024JULY16.docx	NA	Yes	Yes	Fillable Fileable

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 U.S. Population	FR Citation: 49 FR 37693

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	-600	5,600
Annual IC Time Burden (Hours)	10,000	-4,000	14,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
MEC Examination Materials	Attachment_11e_MEC_Examination_Materials_2024JULY16.pdf	09/23/2024
MEC Examination Results	Attachment_11f_MEC_Examination_Results_2024JULY16.pdf	09/23/2024

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