Notice2024-22473
Agency Forms Undergoing Paperwork Reduction Act Review
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
October 1, 2024
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 89 Issue 190 (Tuesday, October 1, 2024)</title>
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[Federal Register Volume 89, Number 190 (Tuesday, October 1, 2024)]
[Notices]
[Pages 79927-79929]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-22473]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-24-0950]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled ``National Health and Nutrition Examination
Survey (NHANES)'' to the Office of Management and Budget (OMB) for
review and approval. CDC previously published a ``Proposed Data
Collection Submitted for Public Comment and Recommendations'' notice on
May 13, 2024 to obtain comments from the public and affected agencies.
CDC did not receive comments related to the previous notice. This
notice serves to allow an additional 30 days for public and affected
agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) 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;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) 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 submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570. Comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct
written comments and/or suggestions regarding the items contained in
this notice to the Attention: CDC Desk Officer, Office of Management
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202)
395-5806. Provide written comments within 30 days of notice
publication.
Proposed Project
National Health and Nutrition Examination Survey (NHANES) (OMB
Control No. 0920-0950, Exp. 04/30/
[[Page 79928]]
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 nutritional 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 substantive changes to NHANES content or
procedures. As in previous years, the base sample will remain at
approximately 5,000 individuals interviewed and examined, 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 survey participant 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 CAPI and 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 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, tests 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 survey participants 18 and older, etc. 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 proposal.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hours)
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Individuals in households.......... Household Screener 6,398 1 7/60
Questionnaire.
Individuals in households.......... Survey Participant 5,882 1 1
Questionnaire; & Household
Questionnaire.
Individuals in households.......... MEC Examination & Interview 5,000 1 2
Data Collection Forms.
[[Page 79929]]
Individuals in households.......... Day1 Dietary Instrument; 5,882 1 1
MEC Dietary Recruitment
Scheduling Instrument;
Dietary Front-End
Instrument; Dietary
Incentives and Scheduling
Instrument; MEC Dietary
Reminder Call-in
Instrument; & Flexible
Consumer Behavior Survey
(FCBS) Instrument.
Individuals in households.......... Day2 Dietary Instrument.... 5,882 1 36/60
Individuals in households.......... Developmental Projects & 3,500 1 3
Special Studies.
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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. 2024-22473 Filed 9-30-24; 8:45 am]
BILLING CODE 4163-18-P
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