[Federal Register Volume 78, Number 212 (Friday, November 1, 2013)]
[Notices]
[Pages 65652-65653]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-26115]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-14-0950]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an email to
[email protected]. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
The National Health and Nutrition Examination Survey (NHANES) OMB
No. 0920-0950, expires 11/30/2015)--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 Surveys (NHANES) have
been conducted periodically between 1970 and 1994, and continuously
since 1999 by the National Center for Health Statistics, CDC. Annually,
approximately 15,411 respondents participate in some aspect of the full
survey. About 10,000 complete the screener for the survey. About 142
complete the household interview only. About 5,269 complete both the
household interview and the Mobile Examination Center (MEC)
examination. Up to 4,000 additional persons might participate in tests
of procedures, special studies, or methodological studies (see line 2
of Burden Table). Participation in NHANES is completely voluntary and
confidential. A two-year approval is requested.
NHANES programs produce descriptive statistics which measure the
health and nutrition status of the general population. Through the use
of 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, risk factors, and environmental
exposures. NHANES data are 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. NCHS collects personal identification information. 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 sponsor data-collection components on NHANES.
To keep burden down, NCHS cycles in and out various components. The
2013-2014 NHANES physical examination includes the following
components: Oral glucose tolerance test (ages 12 and older), grip
strength (ages 6 and older), anthropometry (all ages), 24-hour dietary
recall (all ages), physician's examination (all ages, blood pressure is
collected here), taste and smell (60 and older), oral health
examination (ages 1 and older, fluorosis photos ages 6-19), dual X-ray
absorptiometry (total body composition ages 6-59 and osteoporosis,
vertebral fractures and aortic calcification ages 40 and older). While
at the examination center additional interview questions are asked (6
and older); a physical activity monitor is placed for 7 days of wear
(ages 3 and older) and instructions are provided for mailing it back; a
second 24-hour dietary recall (all ages) is scheduled to be conducted
by phone 3-10 days later; and supplies and directions for a home urine
collection (ages 20-69) is explained (this urine is mailed back).
The bio-specimens collected for laboratory tests include urine,
blood, vaginal and penile swabs, oral rinses and household water
collection. Serum, plasma and urine specimens are stored for future
testing if the participant consents.
For the 2013-14 NHANES some major additions to the laboratory
component include the following: Additional laboratory tests related to
tobacco exposure, laboratory content related to fluoride exposure, and
collection of HPV swabs for males.
The following major examination or laboratory items, that had been
included in the 2011-2012 NHANES, were cycled out for NHANES 2013-2014:
Tuberculin skin testing, the respiratory health, and hearing
examination components, and collection of a genetic specimen for future
testing.
Most sections of the NHANES interviews provide self-reported
information to be used either in concert 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.
In 2014, 24-hour urine will be collected from interested NHANES
participants who have completed the NHANES examination. This
information is designed to better understand sodium intake and provide
a population baseline for use in monitoring trends in sodium intake in
the future. This special study will be limited to a one-half sample of
participants ages 20-69. One half of those successfully completing this
initial collection will be asked to complete second 24-hour urine. In
addition to sodium levels, potassium, chloride and creatinine levels
will be measured. Other analyses of the urine are being considered:
Fluoride, micro-albumin, phosphorus and iodine.
NHANES data users include the U.S. Congress; numerous Federal
agencies such as other branches of the Centers for Disease Control and
Prevention, the National Institutes of Health, and the United States
Department of Agriculture; private groups such as the American Heart
Association; schools of public health; and private businesses. There is
no cost to respondents other than their time to participate. The total
estimate of annualized burden is 48,986 hours.
[[Page 65653]]
Annualized Burden Hours and Costs
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Average
Number of Number of burden per
Type of respondent Form respondents responses per response (in
respondent hours)
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Individuals in households............. NHANES Questionnaire..... 15,411 1 2.4
Individuals in households............. Special Studies.......... 4,000 1 3
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LeRoy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Center for Disease Control and Prevention.
[FR Doc. 2013-26115 Filed 10-31-13; 8:45 am]
BILLING CODE 4163-18-P