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

ICR 202504-0920-015

OMB: 0920-0950

Federal Form Document

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