Information Collection

[NCHS]CCQDER's NHANES Feeding Practices

IC 264394 under ICR 202504-0920-019 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

2026-07-06 - Reinstatement without change of a previously approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-24BI [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 4a - Screening script NHANES 11.16.23 CLEAN [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 4b- Screening script NHANES 11.16.23 CLEAN [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 5a & 5b - Informed Consent NHANES 11.16.23 [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
Form 0920-24BI Attachment 3a- NHANES English Advertisement [NCHS]CCQDER's NHANES Feeding Practices	Form and Instruction
0920-24BI Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN Attachment 1b-NHANES Question Set 2 11.22.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 4a - Screening script NHANES 11.16.23 CLEAN Attachment 4a - Screening script NHANES 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 4a - Screening script NHANES 11.16.23 CLEAN Attachment 4a - Screening script NHANES 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 4b- Screening script NHANES 11.16.23 CLEAN Attachment 4b- Screening script NHANES 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 4b- Screening script NHANES 11.16.23 CLEAN Attachment 4b- Screening script NHANES 11.16.23 CLEAN.docx	Form and Instruction
0920-24BI Attachment 5a & 5b - Informed Consent NHANES 11.16.23 Attachment 5a & 5b - Informed Consent NHANES 11.16.23.docx	Form and Instruction
0920-24BI Attachment 5a & 5b - Informed Consent NHANES 11.16.23 Attachment 5a & 5b - Informed Consent NHANES 11.16.23.docx	Form and Instruction
0920-24BI Attachment 3a- NHANES English Advertisement Attachment 3a- NHANES English Advertisement.docx	Form and Instruction
0920-24BI Attachment 3a- NHANES English Advertisement Attachment 3a- NHANES English Advertisement.docx	Form and Instruction
Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23.docx Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23	IC Document
Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23.docx Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23	IC Document
Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23.docx Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23	IC Document
Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23.docx Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23	IC Document
Attachment 2- Previous Use and Development.docx Attachment 2- Previous Use and Development	IC Document
Attachment 2- Previous Use and Development.docx Attachment 2- Previous Use and Development	IC Document
Attachment 3b- NHANES Spanish Advertisement.docx Attachment 3b- NHANES Spanish Advertisement	IC Document
Attachment 3b- NHANES Spanish Advertisement.docx Attachment 3b- NHANES Spanish Advertisement	IC Document
Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN.docx Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN	IC Document
Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN.docx Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN	IC Document
Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23.docx Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23	IC Document
Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23.docx Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23	IC Document
NHANES Feeding Practices- SSA CCQDER 11.22.23.docx NHANES Feeding Practices- SSA CCQDER 11.22.23	IC Document
NHANES Feeding Practices- SSA CCQDER 11.22.23.docx NHANES Feeding Practices- SSA CCQDER 11.22.23	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCHS]CCQDER's NHANES Feeding Practices

Agency IC Tracking Number:

0920-0222-24BI

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable
Form and Instruction	0920-24BI	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,190

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	9,190	9,190
Annual IC Time Burden (Hours)	9,117	9,117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23		01/10/2024
Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23		01/10/2024
Attachment 2- Previous Use and Development		01/10/2024
Attachment 3b- NHANES Spanish Advertisement		01/10/2024
Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN		01/10/2024
Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23		01/10/2024
NHANES Feeding Practices- SSA CCQDER 11.22.23		01/10/2024

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

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