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

Forms and Documents

Document Name	Status
Form 0920-0950 Developmental Projects & Special Studies Testing Form and Instruction	Unchanged
Form 0920-0950 Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction	Unchanged
Form 0920-0950 Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction	Unchanged
Form 0920-0950 MEC Exam and Interview Data Collection Form and Instruction	Modified
Form 0920-0950 Household Screener Questionnaire Form and Instruction	Modified
Change Request Memo - EO14168 - 0920-0950 (NHANES).docx Justification for No Material/Nonsubstantive Change	2025-04-16
Attachment_5_Summary of Questionnaire Changes_2025-2026_2025FEB14.docx Supplementary Document	2025-03-25
Attachment_14_2025-26 NHANES (Title change for IC Forms).docx Supplementary Document	2024-09-23
Attachment_12_ERBApproval_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_11d_Material_Handouts_2024JULY16.pdf Supplementary Document	2024-09-23
Attachment_11b_Consent_Materials_2024JULY16.pdf Supplementary Document	2024-09-23
Attachment_10_NHANES History_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_9_Agencies Consulted_2025-2026_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_8_Lab_Assessments_2025-2026 and earlier_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_7_DevelopmentalProjectReport_Child Blood Pressure_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_4_Sample Design Tables 2025-2026_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_3_NHANES_Changes in 2025_2024JULY16.docx Supplementary Document	2024-09-23
Attachment_1_Applicable_Laws_Regulations_2024JULY16.docx Supplementary Document	2024-09-23
0920-0950 SSA Revised 2025APR16.docx Supporting Statement A	2025-04-17
0920-0950 SSB Revised 2025APR16.docx Supporting Statement B	2025-04-17

IC Document Collections

IC ID	Document Title	Status
245124	Developmental Projects & Special Studies Testing Form and Instruction	Unchanged
245123	Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction	Unchanged
245121	Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction	Unchanged
245120	MEC Exam and Interview Data Collection Form and Instruction	Modified
245119	Survey Participant Questionnaire Instruction	Modified
245118	Household Screener Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0950	ICR Reference No: 202504-0920-015
Status: Received in OIRA	Previous ICR Reference No: 202409-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0950-25-0098
Title: [NCHS] National Health and Nutrition Examination Survey (NHANES)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/01/2025

	Requested	Previously Approved
Expiration Date	01/31/2028	01/31/2028
Responses	32,544	32,544
Time Burden (Hours)	36,540	36,540
Cost Burden (Dollars)	0	0

---

Abstract: NHANES is a major ongoing source of information on the health and nutritional status of the civilian, non-institutionalized population of the United States (U.S.). NHANES collects data from household eligibility through screening; sample person household and family interviews; NHANES examinations and interviews at the Mobile Examination Center (MEC); laboratory assessments; and telephone follow-up interviews and other follow-up activities for 2025-2026. This Non-Substantive Change Request is submitted to modify 0920-0950 (NHANES) documents to comply with recently issued EOs. There is no anticipated change to the approved burden.

---

Authorizing Statute(s): US Code: 42 USC 306 Name of Law: PHSA
   PL: Pub.L. 104 - 170 301 Name of Law: Food Quality Protection Act
   PL: Pub.L. 110 - 234 4403 Name of Law: Food, Conservation, and Energy Act of 2008
   US Code: 21 USC 393 Name of Law: Federal Food, Drug and Cosmetic Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 41438	05/13/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 79927	10/01/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Day 1 and Day 2 Telephone Dietary Recall & Follow-up	0920-0950, 0920-0950, 0920-0950, 09520-0950, 0920-0950, 0920-0950	Dietary Interview Day 1 Instrument ,   MEC and Dietary Recruitment and Scheduling Instrument ,   Dietary Interview Front End Instrument ,   Dietary Incentive and Scheduling Instrument ,   MEC and Dietary Reminder Call Instrument ,   Flexible Consumer Behavior Survey Instrument
Developmental Projects & Special Studies Testing	0920-0950	Developmental Projects & Special Studies Testing
Flexible Consumer Behavior Survey Phone Follow-Up	0920-0950	Dietary Interview Day 2 Instrument
Household Screener Questionnaire	0920-0950	Household Screener Questionnaire 17APR2025
MEC Exam and Interview Data Collection	0920-0950	MEC Examination and Interview Data Collection 17APR2025
Survey Participant Questionnaire	0920-0950	Survey Participant Questionnaire 17APR2025

---

ICR Summary of Burden

	Total Request	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	32,544	0	0	0	0
Annual Time Burden (Hours)	36,540	36,540	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $50,200,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/01/2025

---