OMB control number

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

OMB 0920-0950 · HHS/CDC.

OMB 0920-0950

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 2025-2027. This Non-Substantive Change Request is submitted to edit incentives and extend the collection time. There is no anticipated change to the approved burden.

The latest form for [NCHS] National Health and Nutrition Examination Survey (NHANES) expires 2028-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0950 Developmental Projects & Special Studies Testing Form and Instruction
Form 0920-0950 Dietary Interview Day 2 Instrument Form and Instruction
Form 0920-0950 Flexible Consumer Behavior Survey Instrument Form and Instruction
Form 0920-0950 MEC and Dietary Reminder Call Instrument Form and Instruction
Form 0920-0950 Dietary Incentive and Scheduling Instrument Form and Instruction
Form 09520-0950 Dietary Interview Front End Instrument (document unavailable) Form and Instruction
Form 0920-0950 MEC and Dietary Recruitment and Scheduling Instrument Form and Instruction
Form 0920-0950 Dietary Interview Day 1 Instrument Form and Instruction
Form 0920-0950 MEC Examination and Interview Data Collection 17APR2025 Form and Instruction
Form 0920-0950 Survey Participant Questionnaire 17APR2025 Form and Instruction
Form 0920-0950 Household Screener Questionnaire 17APR2025 Form and Instruction
Att. 1 - MEC Examined Response Rates by Varying Incentives_2026FEB25.docx Supplementary Document
0920-0950 MEC Incentive Increase Non-sub_2026FEB25.docx Justification for No Material/Nonsubstantive Change
Change Request Memo - EO14168 - 0920-0950 (NHANES).docx Justification for No Material/Nonsubstantive Change
Attachment_5_Summary of Questionnaire Changes_2025-2026_2025FEB14.docx Supplementary Document
Attachment_14_2025-26 NHANES (Title change for IC Forms).docx Supplementary Document
Attachment_12_ERBApproval_2024JULY16.docx Supplementary Document
Attachment_11d_Material_Handouts_2024JULY16.pdf (document unavailable) Supplementary Document
Attachment_11b_Consent_Materials_2024JULY16.pdf (document unavailable) Supplementary Document
Attachment_10_NHANES History_2024JULY16.docx Supplementary Document
Attachment_9_Agencies Consulted_2025-2026_2024JULY16.docx Supplementary Document
Attachment_8_Lab_Assessments_2025-2026 and earlier_2024JULY16.docx Supplementary Document
Attachment_7_DevelopmentalProjectReport_Child Blood Pressure_2024JULY16.docx Supplementary Document
Attachment_4_Sample Design Tables 2025-2026_2024JULY16.docx Supplementary Document
Attachment_3_NHANES_Changes in 2025_2024JULY16.docx Supplementary Document
Attachment_1_Applicable_Laws_Regulations_2024JULY16.docx Supplementary Document
0920-0950 SSA Revised 2025APR16.docx Supporting Statement A
0920-0950 SSB Revised 2025APR16.docx (document unavailable) Supporting Statement B
Developmental Projects & Special Studies Testing Form and Instruction
Developmental Projects & Special Studies Testing Form and Instruction
Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction
Flexible Consumer Behavior Survey Phone Follow-Up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
Day 1 and Day 2 Telephone Dietary Recall & Follow-up Form and Instruction
MEC Exam and Interview Data Collection Form and Instruction
MEC Exam and Interview Data Collection Form and Instruction
Survey Participant Questionnaire Form and Instruction
Survey Participant Questionnaire Instruction
Household Screener Questionnaire Form and Instruction
Household Screener Questionnaire Form and Instruction

All Historical Document Collections

202603-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2026-03-04
202504-0920-015	No material or nonsubstantive change to a currently approved collection	2025-05-01
202409-0920-012	Revision of a currently approved collection	2024-10-17
202302-0920-007 Approved without change	Revision of a currently approved collection	2023-03-09
202209-0920-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2022-09-06
202208-0920-009 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2022-08-16
202205-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-05-18
202201-0920-006 Approved with change	No material or nonsubstantive change to a currently approved collection	2022-01-12
202012-0920-018 Approved without change	Revision of a currently approved collection	2021-01-21
202002-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-02-25
202001-0920-015 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2020-01-27
201809-0920-002 Approved without change	Revision of a currently approved collection	2018-10-11
201802-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-02-15
201708-0920-022 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-09-01
201611-0920-002 Approved without change	Revision of a currently approved collection	2016-11-09
201607-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-07-21
201512-0920-003 Approved without change	Revision of a currently approved collection	2015-12-16
201511-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-11-12
201504-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-05-05
201412-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-01-05
201410-0920-025 Approved without change	Revision of a currently approved collection	2014-11-12
201403-0920-009 Approved with change	No material or nonsubstantive change to a currently approved collection	2014-03-20
201311-0920-004 Approved without change	Revision of a currently approved collection	2013-11-07
201308-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-08-08
201305-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-05-28
201302-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	2013-02-05
201210-0920-011 Approved without change	New collection (Request for a new OMB Control Number)	2012-10-25

OMB Details

Household Screener Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0950

Household Screener Questionnaire 17APR2025

N/A

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.