Notice2024-10357
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
May 13, 2024
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 effort 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 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 United States population.
Full Text
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<title>Federal Register, Volume 89 Issue 93 (Monday, May 13, 2024)</title>
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[Federal Register Volume 89, Number 93 (Monday, May 13, 2024)]
[Notices]
[Pages 41438-41440]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-10357]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-24-0950; Docket No. CDC-2024-0037]
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 effort 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 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 United States population.
DATES: CDC must receive written comments on or before July 12, 2024.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2024-
0037 by either of the following methods:
[[Page 41439]]
<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 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#5b3436391b383f38753c342d"><span class="__cf_email__" data-cfemail="e986848ba98a8d8ac78e869f">[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
No. 0920-0950, Exp. 04/30/2025)--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)
authorizes that the Secretary of Health and Human Services (DHHS),
acting through NCHS, collect statistics on subjects in the United
States, such as the extent and nature of illness and disability of the
population; environment, social, and other health hazards; determinants
of health; health resources; and utilization of healthcare. 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, CDC.
NHANES produces descriptive statistics, which measure the health
and nutrition status of the general population. With personal
interviews, physical examinations, and laboratory assessments, 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 2025-2026, the Program is not considering any substantial
changes to NHANES content or procedures. As in previous years, the base
sample will remain at approximately 5,000 interviewed and examined
individuals annually. Children 0-17 years of age, persons 65 years of
age or older, and non-Hispanic Black persons will be oversampled in the
2025-2026 survey. 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.
A variety of agencies sponsor data collection components on NHANES.
In the 2025-2026 clearance proposal, the Program modified, added, or
removed various components that were included in the August 2021-August
2023 NHANES to update and modernize processes for data collection.
NHANES staff conducted a thorough review of the sample person and
household questionnaire content and made changes to focus on retaining
questions that are to be used in combination with specific exam or lab
data collected in the survey, as independent prevalence estimates, or
as covariates in statistical analyses (e.g., sociodemographic
characteristics). Further review of all data collection instruments was
done to update wording, update age restrictions for the respondent
universe, align wording across instruments, eliminate duplicate
questions, improve interview flow, and reduce respondent burden.
With the construction of a new fleet of five mobile examination
centers (MECs) with updated designs, the 2025-2026 exam components will
include post consent-questions, anthropometry, oscillometer
measurements, venipuncture, urine collection, MEC ACASI questions, body
composition, respiratory health, audiometry, visual acuity and
ophthalmology, oral health, HPV oral rinse and DNA genital swab
collection, and water fluoride testing. Liver elastography, urine
testing for several sexually transmitted infections, serology testing
for HPV and CMV antibodies, and MEC follow-up questionnaires were
dropped.
First Dietary Recall interviews, the Flexible Consumer Behavior
Survey, and the Second Dietary Recall interviews will be conducted via
telephone either before or after the MEC visit, which is a new approach
for the 2025-2026 survey. If the participant does not schedule their
dietary interviews at the end of their household interview, the MEC
staff will attempt to schedule these appointments at the end of the
examination. This option provides more flexibility to complete the
interviews, which may improve completion rates. Program staff will
monitor response rates closely to assess whether scheduling dietary
interviews after the household interviews has an impact on response
rates for dietary interviews and/or MEC exams.
Although a few laboratory tests are new or have been removed in
2025-2026, most remain but have been modified. Predominantly,
modifications are the result of adjustments in age eligibility. Several
laboratory tests that
[[Page 41440]]
have not been modified include CBC, hemoglobin variants, HIV, cadmium,
and lead. RBC folate forms, LDC cholesterol, and chlamydia are examples
of tests that have been removed for 2025-2026. New laboratory tests
include B vitamins, choline and metabolites, and aldosterone. The
biospecimens collected for laboratory tests include urine and blood.
Serum, plasma, DNA, and urine specimens will be stored for future
testing if the participant provides consent.
NHANES may conduct developmental projects during NHANES 2025-2026,
with a focus on planning for NHANES 2027 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.
Burden for individuals in 2025-2026 NHANES 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 sample persons 18 and older. In addition, adults often serve as
proxy respondents for young people in their families. Participation in
NHANES is voluntary and confidential. The Program is requesting a
three-year approval, with 36,540 annualized hours of burden in this
clearance request.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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Individuals in households..... Screener........ 6,398 1 7/60 747
Individuals in households..... Home Interview.. 5,882 1 1 5,882
Individuals in households..... MEC Interview & 5,000 1 2 10,000
Examination.
Individuals in households..... Day 1 Telephone 5,882 1 1 5,882
Dietary Recall,
Dietary
Supplements, &
Flexible
Consumer
Behavior Survey
Phone Follow-up.
Individuals in households..... Day 2 Telephone 5,882 1 36/60 3,529
Dietary Recall
& Dietary
Supplements.
Individuals in households..... Developmental 3,500 1 3 10,500
Projects &
Special Studies.
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Total..................... ................ .............. .............. .............. 36,540
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2024-10357 Filed 5-10-24; 8:45 am]
BILLING CODE 4163-18-P
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