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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Feasibility Study to Identify Physical Activity and Oral Health Study and 24 Hour Urine Study and Birth Cert Linkage Study
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 and Instruction
none
Children and Adolescent Physical Activity - Health Measurement List
NHANES Att A Mar 2011.doc
No
No
Paper Only
Form and Instruction
none
Birth Certificate Linkage
NHANES Att D Mar 2011.doc
No
No
Paper Only
Form and Instruction
none
Oral Health Dental Fluorosis Imaging
NHANES Att B Mar 2011.doc
No
No
Paper Only
Form and Instruction
none
24 Hour Urine Sodium Calibration
NHANES Att C Mar 2011.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
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:
939
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
1,072
0
0
0
0
0
Annual IC Time Burden (Hours)
2,037
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Letter to Dr. Schwab
NHANES Mar 2011 special studies combo letter.doc
03/31/2011
Protocol for Birth Certificate Linkage Study
NHANES Att D Mar 2011.doc
03/31/2011
Protocol for Oral Health - Dental Fluorosis Imaging/Examination Feasibility Study
NHANES Att B Mar 2011.doc
03/31/2011
Protocol for 24 Hour Urine Sodium Calibration Study
NHANES Att C Mar 2011.doc
03/31/2011
Protocol for Physical Activity Feasibility test
NHANES Att A April 2011.doc
04/29/2011
Supporting Statement -revised
NHANES sup st non substative change revised April 2011.doc
04/29/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.