Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCHS]CCQDER's NHANES Feeding Practices
Agency IC Tracking Number:
0920-0222-24BI
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
0920-24BI
Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN
Attachment 1a-NHANES Question Set 1 11.16.23 CLEAN.docx
Yes
Yes
Fillable Fileable
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
Yes
Yes
Fillable Fileable
Form and Instruction
0920-24BI
Attachment 4a - Screening script NHANES 11.16.23 CLEAN
Attachment 4a - Screening script NHANES 11.16.23 CLEAN.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-24BI
Attachment 4b- Screening script NHANES 11.16.23 CLEAN
Attachment 4b- Screening script NHANES 11.16.23 CLEAN.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-24BI
Attachment 5a & 5b - Informed Consent NHANES 11.16.23
Attachment 5a & 5b - Informed Consent NHANES 11.16.23.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-24BI
Attachment 3a- NHANES English Advertisement
Attachment 3a- NHANES English Advertisement.docx
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 %
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
9,190
0
9,190
0
0
0
Annual IC Time Burden (Hours)
9,117
0
9,117
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23
Attachment 1c- Cognitive testing B-24_Test Questionnaire Set 1_Spanish- CLEAN 11.16.23.docx
01/10/2024
Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23
Attachment 1d-Cognitive testing B-24_Test Questionnaire Set 2_Spanish- CLEAN 11.16.23.docx
01/10/2024
Attachment 2- Previous Use and Development
Attachment 2- Previous Use and Development.docx
01/10/2024
Attachment 3b- NHANES Spanish Advertisement
Attachment 3b- NHANES Spanish Advertisement.docx
01/10/2024
Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN
Attachment 4c-Screening script NHANES - SPANISH 11.16.23 CLEAN.docx
01/10/2024
Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23
Attachment 5c-Informed Consent NHANES - SPANISH 11.16.23.docx
01/10/2024
NHANES Feeding Practices- SSA CCQDER 11.22.23
NHANES Feeding Practices- SSA CCQDER 11.22.23.docx
01/10/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.