Notice2022-25245
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 21, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed revision of the information collection project titled National Health and Nutrition Examination Survey (NHANES). NHANES produces descriptive statistics, which measure the health and nutrition status of the general population.
Full Text
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<title>Federal Register, Volume 87 Issue 223 (Monday, November 21, 2022)</title>
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[Federal Register Volume 87, Number 223 (Monday, November 21, 2022)]
[Notices]
[Pages 70828-70830]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-25245]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-23-0950; Docket No. CDC-2022-0133]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing efforts to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a continuing information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed revision of the information
collection project titled National Health and Nutrition Examination
Survey (NHANES). NHANES produces descriptive statistics, which measure
the health and nutrition status of the general population.
DATES: CDC must receive written comments on or before January 20, 2023.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0133 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all Federal comments through the Federal
eRulemaking portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) or by U.S. mail to the address
listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#9ff0f2fddffcfbfcb1f8f0e9"><span class="__cf_email__" data-cfemail="d5bab8b795b6b1b6fbb2baa3">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
The National Health and Nutrition Examination Survey (NHANES), (OMB
Control No. 0920-0950, Exp. 04/30/2023)--Revision--National Center for
Health Statistics (NCHS), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
Section 306 of the Public Health Service (PHS) Act (42 U.S.C.
242k), as amended, authorizes that the Secretary of Health and Human
Services (DHHS), acting through NCHS, shall collect statistics on the
extent and nature of illness and disability; environmental, social and
other health hazards; and determinants of health of the population of
the United States.
The National Health and Nutrition Examination Survey (NHANES) has
been conducted periodically between 1970 and 1994, and continuously
since 1999 by the National Center for Health Statistics (NCHS), CDC.
NHANES produces descriptive statistics, which measure the health
and nutrition status of the general population. With physical
examinations, laboratory tests, and interviews, NHANES studies the
relationship between diet, nutrition and health in a representative
sample of the United States. NHANES monitors the prevalence of chronic
conditions and risk factors and is used to produce national reference
data on height, weight, and nutrient levels in the blood. Results from
more recent NHANES can be compared to findings reported from previous
surveys to monitor changes in the health of the U.S. population over
time.
In this Revision, the program is not considering any substantial
changes to NHANES content or procedures. The proposed changes being
requested
[[Page 70829]]
include modifications previously approved via non-substantive change
requests in addition to a request for three years of approval. As in
previous years, the base sample will remain at approximately 5,000
interviewed and examined individuals annually. It is possible that the
survey may have to adapt its plans in response to the novel Coronavirus
Disease (COVID-19) or related concerns.
NCHS collects personally identifiable information (PII).
Participant level data items will include basic demographic
information, name, address, Social Security number, Medicare number and
participant health information to allow for linkages to other data
sources such as the National Death Index and data from the Centers for
Medicare and Medicaid Services (CMS).
A variety of agencies sponsors data collection components on
NHANES. To keep burden down and respond to changing public health
research needs, NCHS cycles in and out various components. The 2021-22
NHANES physical examination includes the following components:
anthropometry (all ages), liver elastography (ages 12 and older),
standing balance (ages 20-69), 24-hour dietary recall via phone (all
ages), blood pressure measurement (ages eight and older), and dual X-
ray absorptiometry (DXA) (ages 8-69, total body scan). While at the
examination center, additional interview questions are asked of
participants and a second 24-hour dietary recall (all ages) is
scheduled to be conducted by phone 3-10 days later.
The 2021-22 survey is similar to what was fielded in 2019-20.
NHANES may conduct developmental projects, with a focus on planning for
NHANES 2024 and beyond. These may include activities such as tests of
new equipment, crossover studies between current and proposed methods,
test of different study modes, settings or technology, outreach
materials, incentive strategies, sample storage and processing or
sample designs. The biospecimens collected for laboratory tests include
urine and blood. Serum, plasma and urine specimens are stored for
future testing, including genetic research, if the participant
consents. Consent to store DNA is continuing in NHANES.
Beginning in 2021, NHANES added the following laboratory tests:
Acetylcholinesterase Enzyme Activity in whole blood; an Environmental
Toxicant in Washed Red Blood Cells (Hemoglobin Adducts); Environmental
Toxicants in serum (seven terpenes); Environmental Toxicants in urine
(seven volatile organic compound (VOC) metabolites); Infectious Disease
Markers in serum (Enterovirus 68 (EV-D68) and Human Papilloma Virus
(HPV) in serum); Nutritional Biomarkers in plasma (Four trans-fatty
acids (TFA)); and two Nutritional Biomarkers in serum.
Additionally, at the start of the 2021 survey year, the following
Laboratory Tests were modified: Steroid hormones in serum (eleven
steroid hormones). Cycling out of NHANES is the Blood Pressure
Methodology Study and laboratory tests of Adducts of Hemoglobin
(Acrylamide, Glycidamide) and Urine flow rate.
Most sections of the NHANES interviews provide self-reported
information to be used in combination with specific examination or
laboratory content, as independent prevalence estimates, or as
covariates in statistical analysis (e.g., socio-demographic
characteristics). Some examples include alcohol, drug, and tobacco use,
sexual behavior, prescription and aspirin use, and indicators of oral,
bone, reproductive, and mental health. Several interview components
support the nutrition-monitoring objective of NHANES, including
questions about food security and nutrition program participation,
dietary supplement use, and weight history/self-image related behavior.
NHANES will continue multi-mode screening and electronic consent
procedures. Our yearly goal for interview, exam and post exam
components is 5,600 participants. To achieve this goal, we may need to
screen up to 8,300 individuals annually. Burden for individuals will
vary based on their level of participation. For example, infants and
children tend to have shorter interviews and exams than adults. This is
because young people may have fewer health conditions or medications to
report so their interviews take less time or because certain exams are
only conducted on individuals 18 and older. In addition, adults often
serve as proxy respondents for young people in their families.
Participation in NHANES is voluntary and confidential. CDC requests
OMB approval for a three-year extension, with 65,630 annualized burden
hours. There is no cost to respondents other than their time to
participate.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Individuals................... Screener........ 8,300 1 10/60 1,383
in households.................
Individuals in households..... Household 5,600 1 1 5,600
Interview.
Individuals in households..... MEC Interview & 5,600 1 2.5 14,000
Examination.
Individuals in households..... Telephone 5,600 1 1.3 7,280
Dietary Recall
& Dietary
Supplements.
Individuals in households..... Flexible 5,600 1 20/60 1,867
Consumer
Behavior Survey
Phone Follow-Up.
Individuals in households..... Developmental 3,500 1 3 10,500
Projects &
Special Studies.
Individuals in households..... 24-hour wearable 1,000 1 25 25,000
device projects.
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Total..................... ................ .............. .............. .............. 65,630
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[[Page 70830]]
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-25245 Filed 11-18-22; 8:45 am]
BILLING CODE 4163-18-P
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