[Federal Register Volume 79, Number 70 (Friday, April 11, 2014)]
[Notices]
[Pages 20204-20205]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-08171]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-14-0950]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-7570 or
send comments to LeRoy Richardson, 1600 Clifton Road, MS-D74, Atlanta,
GA 30333 or send an email to [email protected].
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 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 15,613 respondents participate in some aspect of the full
survey. About 10,735 respondents complete the screener for the survey.
About 209 respondents complete the household interview only. About
4,669 respondents complete both the household interview and the Mobile
Exam Center (MEC) examination. Up to 2,500 additional persons might
participate in tests of procedures, special studies, or methodological
studies (Table 1). Participation in NHANES is completely voluntary and
confidential. A three-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 and risk factors. 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
2015-2016 NHANES physical examination includes the following
components: oral glucose tolerance test (ages 12 and older),
anthropometry (all ages), 24-hour dietary recall (all ages),
physician's examination (all ages, blood pressure is collected here),
oral health examination (ages 1 and older), hearing (ages 20-59), 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 second 24-hour dietary recall (all ages) is
scheduled to be conducted by phone 3-10 days later, and an appointment
is made to return to the MEC to begin a 24-hour urine collection (one-
half sample of ages 20-69). In 2014, a 24-hour urine collection was
added to the NHANES protocol to better understand sodium intake and
provide a population baseline for use in monitoring trends in sodium
intake in the future. In 2015, FDA is scheduled to implement a plan to
promote broad, gradual reduction of added sodium in the food supply.
One half of those successfully completing the initial collection will
be asked to complete a second 24-hour urine. After completing the 24-
hour urine participants are asked to provide 2 home urine collections
(first morning and an evening) and mail them back. The urines collected
in the morning and evening will be compared to the 24-hour urine
collection.
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.
The following major examination or laboratory items, that had been
included in the 2013-2014 NHANES, were cycled out for NHANES 2015-2016:
physical activity monitor, taste and smell component and upper body
muscle strength (grip test).
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.
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.
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Table 1--Estimated Annualized Burden Hours
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Number of Average burden
Type of Respondent Form Number of responses per per response Total burden
respondents respondent (in hours) hours
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Individuals in households..... NHANES 15,613 1 2.5 39,033
Questionnaire.
Individuals in households..... Special Studies. 2,500 1 3 7,500
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Total..................... ................ .............. .............. .............. 46,533
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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, Centers for Disease Control and Prevention.
[FR Doc. 2014-08171 Filed 4-10-14; 8:45 am]
BILLING CODE 4163-18-P