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OMB Control No: 0920-0950	ICR Reference No: 202201-0920-006
Status: Historical Active	Previous ICR Reference No: 202012-0920-018
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0950-22BR
Title: National Health and Nutrition Examination Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/12/2022
Terms of Clearance: Jan 19, 2022 version of justification memo approved rather than the original proposal dated Dec 15. Approved consistent with the understanding that NCHS will submit an additional non-sub change for a follow-up survey to understand the reasons that those who completed the interview decided to or not to go on to the MEC stage of the study.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023	04/30/2023
Responses	35,200	0	35,200
Time Burden (Hours)	65,630	0	65,630
Cost Burden (Dollars)	0	0	0

Abstract: The National Health and Nutrition Examination Survey (NHANES) is a continuous nationally representative sample of the civilian, non-institutionalized U.S. population. The survey is unique in that it contains interview, laboratory and physical examination segments. The examination component is conducted in mobile examination centers that travel to fifteen survey locations each year. NHANES data have been the cornerstone for numerous national health and nutrition policy and surveillance activities. This request for Revision includes obtaining clearance to conduct NHANES sample person and family interviews; Mobile Examination Center (MEC) examinations and interviews. The Program is making changes specific to 2021-22 data collection to adapt the survey due to the COVID-19 disease pandemic and related concerns. These changes impact a broad range of survey areas, such as sample design, operational procedures (e.g., interview and examination modes and MEC hours), NHANES content (questionnaires, exam components, and laboratory measures), and outreach materials. Additionally, a priority in making COVID-19 related changes to NHANES content is to ensure safety for participants and staff as well as to add COVID-19 antibody laboratory assessments and COVID-19 questions relevant to interpreting these assessments. NHANES will collect data on a single-year nationally representative sample of 5,000 people during 2021–2022, oversampling children (0-19 years old) and older persons (60 years and over). Covid-related modifications to the Household Interview and the MEC Interview were submitted in January 2022.

Authorizing Statute(s): US Code: 42 USC 306 Name of Law: PHSA
   PL: Pub.L. 104 - 170 301 Name of Law: Food Quality Protection Act
   PL: Pub.L. 110 - 234 4403 Name of Law: Food, Conservation, and Energy Act of 2008
   US Code: 21 USC 393 Name of Law: Federal Food, Drug and Cosmetic Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 43848	07/20/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 3153	01/14/2021
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	35,200	35,200
Annual Time Burden (Hours)	65,630	65,630
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $46,200,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

Agency Contact: Renita Macaluso 770 488-6458 arp5@cdc.gov

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