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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
NCHS National Health and Nutrition Examination Survey (NHANES) Line 7, Follow-up and Special Studies (Methodological and Pilot tests)
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
No Number
Reactions to Race Module Cognitive Test
Attachment 1 Reactions to Race questions.doc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Health and Demographic Surveys Conducted in Probability Samples of the US Population
FR Citation:
49 FR 37693
Number of Respondents:
3,363
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
70 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,363
0
0
0
0
0
Annual IC Time Burden (Hours)
673
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 2 Dietary Screener Module
Attachment 2 Dietary Screener.doc
12/03/2007
Attachment 3 Consumer Behavior Questionnaire
Attachment 3 Consumer Behavior.doc
12/03/2007
Attachment 4 Inflammatory Arthritis - ARQ
Attachment 4 Arthritis Questionnaire.doc
12/03/2007
Attachment 5 Reactions to Race Questionnaire
Attachment 5 Reactions to Race pilot test.doc
12/03/2007
Attachment 6 Dietary Screener Questionnaire
Attachment 6 Dietary Screener Qx Pilot.doc
12/03/2007
Attachment 7 Inflammatory Arthritis Pilot
Attachment 7 Inflammatory Arthritis Pilot.doc
12/03/2007
Attachment 8 Dietary Screener Household Field Test
Attachment 8 Dietary Screener HH field test.doc
12/03/2007
Attachment 9 Consumer Behavior Questionnaire
Attachment 9 Consumer Behavior.doc
12/03/2007
Attachment 10 Inflammatory Arthritis 20-69
Attachment 10 Arthritis Questionnaire.doc
12/03/2007
Attachment 11 Oral Health Questionnaire
Attachment 11 Oral Health Questionnaire.doc
12/03/2007
Attachment 12 Methodological Comparison
Attachment 12 Methodological Comparison with CHMS.doc
12/03/2007
Attachment 13b Pubertal Maturation Questionnaire
Attachment 13 Validation of Pubertal Maturation Module.doc
12/03/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.