OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0920-0950 ยท 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 is listed under ICR 202603-0920-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0950 Developmental Projects & Special Studies TestingForm and Instruction
Form 0920-0950 Dietary Interview Day 2 InstrumentForm and Instruction
Form 0920-0950 Flexible Consumer Behavior Survey InstrumentForm and Instruction
Form 0920-0950 MEC and Dietary Reminder Call InstrumentForm and Instruction
Form 0920-0950 Dietary Incentive and Scheduling InstrumentForm and Instruction
Form 09520-0950 Dietary Interview Front End Instrument (document unavailable)Form and Instruction
Form 0920-0950 MEC and Dietary Recruitment and Scheduling InstrumentForm and Instruction
Form 0920-0950 Dietary Interview Day 1 InstrumentForm and Instruction
Form 0920-0950 MEC Examination and Interview Data Collection 17APR2025Form and Instruction
Form 0920-0950 Survey Participant Questionnaire 17APR2025Form and Instruction
Form 0920-0950 Household Screener Questionnaire 17APR2025Form and Instruction
Att. 1 - MEC Examined Response Rates by Varying Incentives_2026FEB25.docxSupplementary Document
0920-0950 MEC Incentive Increase Non-sub_2026FEB25.docxJustification for No Material/Nonsubstantive Change
Change Request Memo - EO14168 - 0920-0950 (NHANES).docxJustification for No Material/Nonsubstantive Change
Attachment_5_Summary of Questionnaire Changes_2025-2026_2025FEB14.docxSupplementary Document
Attachment_14_2025-26 NHANES (Title change for IC Forms).docxSupplementary Document
Attachment_12_ERBApproval_2024JULY16.docxSupplementary 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.docxSupplementary Document
Attachment_9_Agencies Consulted_2025-2026_2024JULY16.docxSupplementary Document
Attachment_8_Lab_Assessments_2025-2026 and earlier_2024JULY16.docxSupplementary Document
Attachment_7_DevelopmentalProjectReport_Child Blood Pressure_2024JULY16.docxSupplementary Document
Attachment_4_Sample Design Tables 2025-2026_2024JULY16.docxSupplementary Document
Attachment_3_NHANES_Changes in 2025_2024JULY16.docxSupplementary Document
Attachment_1_Applicable_Laws_Regulations_2024JULY16.docxSupplementary Document
0920-0950 SSA Revised 2025APR16.docxSupporting 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

Historical document collections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

OMB Details

Household Screener Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-0950Household Screener Questionnaire 17APR2025N/AForm and instruction

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