Agency Forms Undergoing Paperwork Reduction Act Review, 3153-3155 [2021-00691]
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Federal Register / Vol. 86, No. 9 / Thursday, January 14, 2021 / Notices
rule 1.49(f) or for which the
Commission has made available a
method of electronic filing, written ex
parte presentations and memoranda
summarizing oral ex parte
presentations, and all attachments
thereto, must be filed through the
electronic comment filing system
available for that proceeding, and must
be filed in their native format (e.g., .doc,
.xml, .ppt, searchable .pdf). Participants
in this proceeding should familiarize
themselves with the Commission’s ex
parte rules.
Board of Governors of the Federal Reserve
System, January 11, 2021.
Michele Taylor Fennell,
Deputy Associate Secretary of the Board.
Board of Governors of the Federal Reserve
System, January 11, 2021.
Michele Taylor Fennell,
Deputy Associate Secretary of the Board.
BILLING CODE 6210–01–P
[FR Doc. 2021–00578 Filed 1–13–21; 8:45 am]
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The public portions of the
applications listed below, as well as
other related filings required by the
Board, if any, are available for
immediate inspection at the Federal
Reserve Bank(s) indicated below and at
the offices of the Board of Governors.
This information may also be obtained
on an expedited basis, upon request, by
contacting the appropriate Federal
Reserve Bank and from the Board’s
Freedom of Information Office at
https://www.federalreserve.gov/foia/
request.htm. Interested persons may
express their views in writing on the
standards enumerated in the BHC Act
(12 U.S.C. 1842(c)).
Comments regarding each of these
applications must be received at the
Reserve Bank indicated or the offices of
the Board of Governors, Ann E.
Misback, Secretary of the Board, 20th
Street and Constitution Avenue NW,
Washington DC 20551–0001, not later
than February 16, 2021.
A. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
President) 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. SBWY Financial Corporation,
Evanston, Wyoming; to become a bank
holding company by acquiring State
Bank, Green River, Wyoming.
The notificants listed below have
applied under the Change in Bank
Control Act (Act) (12 U.S.C. 1817(j)) and
§ 225.41 of the Board’s Regulation Y (12
CFR 225.41) to acquire shares of a bank
or bank holding company. The factors
that are considered in acting on the
applications are set forth in paragraph 7
of the Act (12 U.S.C. 1817(j)(7)).
The public portions of the
applications listed below, as well as
other related filings required by the
Board, if any, are available for
immediate inspection at the Federal
Reserve Bank(s) indicated below and at
the offices of the Board of Governors.
This information may also be obtained
on an expedited basis, upon request, by
contacting the appropriate Federal
Reserve Bank and from the Board’s
Freedom of Information Office at
https://www.federalreserve.gov/foia/
request.htm. Interested persons may
express their views in writing on the
standards enumerated in paragraph 7 of
the Act.
Comments regarding each of these
applications must be received at the
Reserve Bank indicated or the offices of
the Board of Governors, Ann E.
Misback, Secretary of the Board, 20th
Street and Constitution Avenue NW,
Washington DC 20551–0001, not later
than January 29, 2021.
A. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
President) 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. John Morrow, Albion, Nebraska; to
join the Sullivan family group, a group
VerDate Sep<11>2014
20:43 Jan 13, 2021
Jkt 253001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
BILLING CODE P
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
Change in Bank Control Notices;
Acquisitions of Shares of a Bank or
Bank Holding Company
[FR Doc. 2021–00758 Filed 1–13–21; 8:45 am]
[FR Doc. 2021–00759 Filed 1–13–21; 8:45 am]
FEDERAL RESERVE SYSTEM
FEDERAL RESERVE SYSTEM
khammond on DSKJM1Z7X2PROD with NOTICES
acting in concert, to retain voting shares
of Cedar Rapids State Company, and
thereby indirectly retain voting shares of
Cedar Rapids State Bank, both of Cedar
Rapids, Nebraska.
Federal Communications Commission.
Daniel Kahn,
Associate Chief, Wireline Competition
Bureau.
BILLING CODE 6712–01–P
3153
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
[30Day–21–0950]
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 The 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 July 20,
2020 to obtain comments from the
public and affected agencies. CDC
received two non-substantive 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
E:\FR\FM\14JAN1.SGM
14JAN1
3154
Federal Register / Vol. 86, No. 9 / Thursday, January 14, 2021 / Notices
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 www.reginfo.gov/public/
do/PRAMain 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.
khammond on DSKJM1Z7X2PROD with NOTICES
Proposed Project
The National Health and Nutrition
Examination Survey (NHANES), (OMB
Control No. 0920–0950, Exp. 11/30/
2021)—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 the Secretary of
Health and Human Services (DHHS),
acting through NCHS, to 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 (U.S.). 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 (NCHS), CDC. Due to the
Coronavirus (COVID–19) pandemic,
NHANES 2019–20 paused data
collection operations, making this the
first time since 1999 that NHANES did
not operate on a continuous basis.
NHANES programs produce
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
U.S. NHANES monitors the prevalence
of chronic conditions and risk factors
and produces national reference data on
height, weight, and nutrient levels in
the blood. Results from the 2021–22
NHANES will be used to assess current
health measures in the U.S. population.
The program is making changes to
NHANES content and procedures for
2021–22. The proposed changes include
modifications to sample design,
VerDate Sep<11>2014
20:43 Jan 13, 2021
Jkt 253001
questionnaires, exam components,
laboratory content, outreach materials,
changes in select interview and exam
modes, and changes to operational
procedures. NHANES proposes these
changes in response to COVID–19 and
to address issues such as low response
rates. The program consulted with
collaborators, stakeholders, and the
NCHS Board of Scientific Counselors
(BSC). Due to these changes, largely
driven by the pandemic, NHANES
2021–22 may not be comparable with
previous or future NHANES cycles.
NCHS collects personally identifiable
information (PII). Participant level data
items 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 low and respond to
changing public health needs, NCHS
cycles in and out various components.
In 2021–22, NHANES plans to continue
electronic consent procedures and
implement multi-mode eligibility
screening. Our yearly goal for interview,
exam, and post exam components is
5,000 participants. To achieve the goal
of 5,000 participants interviewed and
examined, we need to screen
approximately 7,000 individuals
annually, a number lower than the
approximately 15,000 screened in
previous NHANES because NHANES
2021–22 will not oversample based on
race, Hispanic origin, or income. In
addition, there will be approximately
600 volunteers as part of a dress
rehearsal that takes place in two
locations (300 volunteers per location.)
In NHANES 2021–22, the interviews
that would historically occur via inperson interviews (i.e., screening,
family, and sampled participant) will be
conducted primarily over the phone. A
significant reduction in interview
content will occur in 2021–22 so the
length of the interviews is feasible for
the designed interview modes with
reasonable burden to the respondents.
Changes will also be made to focus on
retaining questions directly related to
the interpretation of examination or lab
data collected in the survey and relevant
to assess the effect of the pandemic. The
program plans to add questions related
to COVID–19 to the survey to
complement NHANES laboratory
measures. The program will drop select
questions related to examination and
laboratory content cycled out of the
survey in 2021–22.
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
Most sections of the NHANES
interviews provide self-reported
information for use 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, nutrition program
participation, and dietary supplement
use.
In 2021–22, NHANES will initiate
screening for COVID–19 prior to
participants entering the Mobile
Examination Center (MEC). Participants
will be reminded via text or telephone
call not to report for their examination
appointment if they have been exposed
or have tested positive. When
participants arrive for the examination
appointment, they will answer
questions to determine if they have been
potentially exposed, they will have their
temperature checked and finally will
have a COVID antibody test, prior to
being allowed in the MEC.
The NHANES examinations that will
remain unchanged include
anthropometry (all ages), blood pressure
(8+), and liver elastography (40).
The program is modifying select
examination components in 2021–22.
These changes include dropping the
DXA spine and femur scans while
continuing DXA whole body scans (ages
8–69), dropping all visual assessment
subcomponents of the standing balance
examination, and modifying the
phlebotomy component.
Examination components cycled out
in 2021–22 include: Oral Health,
Audiometry and Words-in Noise (4
audiometry questions are retained in the
Household Interview), and Cognitive
Functioning assessment. NHANES does
not plan to conduct a Blood Pressure
Methodology Study.
In previous NHANES cycles, while at
the examination center, participants
were administered a Day 1 dietary recall
interview via in-person interview, and
additional interview questions were
asked (six and older) both in-person and
through Audio Computer-Assisted SelfInterview (ACASI). A second 24-hour
dietary recall (all ages) was also
scheduled to be conducted by phone 3–
10 days later. In NHANES 2021–22,
both the Day 1 dietary recall and the
second 24-hour dietary recall will be
completed as telephone interviews. The
interview questions will be completed
E:\FR\FM\14JAN1.SGM
14JAN1
3155
Federal Register / Vol. 86, No. 9 / Thursday, January 14, 2021 / Notices
in the examination center primarily via
ACASI.
The biospecimens collected for
laboratory testing include urine and
blood. Serum, plasma, and urine
specimens are stored for future testing,
including genetic studies, if the
participant consents. Consent to store
DNA will continue in NHANES.
In 2021–22, we plan to add the
following laboratory tests: Serum
Terpenes: a-Pinene, b-Pinene, bMyrcene, D-3-Carene, Limonene, bCaryophyllene, a-Humulene;
Magnesium; HPV, serum; Alpha-1-acidglycoprotein (AGP); Vitamin D; Vitamin
A; Vitamin C; Acrylonitrile; Trans-fatty
Acids; Blood butyrylcholinesterase
activity, blood butyrylcholinesterase
concentration, and red blood cell
acetylcholinesterase activity;
Enterovirus D68; and COVID–19
serology.
In 2021–22, the following laboratory
tests will be modified: Hepatitis D (new
testing method, reportable findings); Sex
steroid hormone panel (now starting at
3+); Urine VOC metabolites (adding as
additional 7); trans, trans-Muconic acid;
N-Acetyl-S-phenyl-L-cysteine; N–2Furoylglycine; 2,5-Furandicarboxylic
acid; 5-Hydroxymethyl-2furancarboxylic acid; 5-Hydroxymethyl2-furoylglycine; and 5-Hydroxy-Nmethyl-2-pyrrolidone.
The laboratory tests cycling out for
2021–22 include: HPV swabs (male and
female); HPV oral rinse; Home water
sample collection to test for fluoride;
Salt home collection for iodine
assessment; Chromium/Cobalt;
Tuberculosis (TB); and Urine flow rate.
NHANES plans to conduct a dress
rehearsal prior to fielding the survey as
usual. This will be conducted in two
locations, among a sample of
approximately 300 volunteers per
location (approximately 600 total). The
program is taking this step to assure it
maintains the consistent quality
associated with data collection, given
the necessary pause in field operations
in 2020. The data collected during dress
rehearsal will be used for quality control
and training purposes. Dress rehearsal
data will not be part of the 2021–22
public release.
NHANES plans to conduct
developmental projects during NHANES
2021–22 with a focus on planning for
NHANES 2023 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 varies based
on their level of participation. For
example, infants and children tend to
have shorter interviews and exams than
adults because young people may have
fewer health conditions or medications
to report, certain exams are only
conducted on individuals 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. There is no cost to
respondents other than their time. CDC
requests a three-year approval, with
65,630 annualized hours of burden.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
Individuals
Individuals
Individuals
Individuals
in
in
in
in
households
households
households
households
................................
................................
................................
................................
Individuals in households ................................
Individuals in households ................................
Individuals in households ................................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2021–00691 Filed 1–13–21; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
khammond on DSKJM1Z7X2PROD with NOTICES
Centers for Disease Control and
Prevention
Healthcare Infection Control Practices
Advisory Committee (HICPAC)
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
AGENCY:
ACTION:
Notice of meeting.
VerDate Sep<11>2014
20:43 Jan 13, 2021
Number of
respondents
Form name
Jkt 253001
Screener .........................................................
Household Interview .......................................
MEC Interview & Examination .......................
Day 1 and Day 2 Telephone Dietary Recall
& Dietary Supplements.
Flexible Consumer Behavior Survey Phone
Follow-Up.
Developmental Projects & Special Studies ...
24-hour wearable device projects ..................
In accordance with the
Federal Advisory Committee Act, the
CDC announces the following meeting
for the Healthcare Infection Control
Practices Advisory Committee
(HICPAC). This meeting is open to the
public, limited only by audio phone
lines available. The public is also
welcome to listen to the meeting by
dialing 1–877–924–1748, passcode:
3380216. A total of 200 lines will be
available. Registration is required. To
register for this call, please go to
www.cdc.gov/hicpac.
SUMMARY:
The meeting will be held on
March 4, 2021, from 9 a.m. to 3 p.m.,
EST.
DATES:
The teleconference access is
1–877–924–1748, and the passcode is
3380216.
ADDRESSES:
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
Number of
responses per
respondent
Average
burden
per response
(in hours)
8,300
5,600
5,600
5,600
1
1
1
1
10/60
1
2.5
1.3
5,600
1
20/60
3,500
1,000
1
1
3
25
KooWhang Chung, M.P.H., HICPAC,
Division of Healthcare Quality
Promotion, NCEZID, CDC, 1600 Clifton
Road NE, Mailstop H16–3, Atlanta,
Georgia 30329–4027, Telephone (404)
498–0730; Email: HICPAC@cdc.gov.
SUPPLEMENTARY INFORMATION:
Purpose: The Committee is charged
with providing advice and guidance to
the Director, Division of Healthcare
Quality Promotion (DHQP), the Director,
National Center for Emerging and
Zoonotic Infectious Diseases (NCEZID),
the Director, CDC, the Secretary, Health
and Human Services regarding (1) the
practice of healthcare infection
prevention and control; (2) strategies for
surveillance, prevention, and control of
infections, antimicrobial resistance, and
related events in settings where
healthcare is provided; and (3) periodic
FOR FURTHER INFORMATION CONTACT:
E:\FR\FM\14JAN1.SGM
14JAN1
]]>Agencies
[Federal Register Volume 86, Number 9 (Thursday, January 14, 2021)]
[Notices]
[Pages 3153-3155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-00691]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-21-0950]
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 The 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 July 20,
2020 to obtain comments from the public and affected agencies. CDC
received two non-substantive 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
[[Page 3154]]
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 www.reginfo.gov/public/do/PRAMain 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
The National Health and Nutrition Examination Survey (NHANES), (OMB
Control No. 0920-0950, Exp. 11/30/2021)--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 the Secretary of Health and Human
Services (DHHS), acting through NCHS, to 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 (U.S.). 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 (NCHS), CDC. Due to the Coronavirus (COVID-19) pandemic,
NHANES 2019-20 paused data collection operations, making this the first
time since 1999 that NHANES did not operate on a continuous basis.
NHANES programs produce 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 U.S. NHANES monitors the prevalence of chronic conditions
and risk factors and produces national reference data on height,
weight, and nutrient levels in the blood. Results from the 2021-22
NHANES will be used to assess current health measures in the U.S.
population.
The program is making changes to NHANES content and procedures for
2021-22. The proposed changes include modifications to sample design,
questionnaires, exam components, laboratory content, outreach
materials, changes in select interview and exam modes, and changes to
operational procedures. NHANES proposes these changes in response to
COVID-19 and to address issues such as low response rates. The program
consulted with collaborators, stakeholders, and the NCHS Board of
Scientific Counselors (BSC). Due to these changes, largely driven by
the pandemic, NHANES 2021-22 may not be comparable with previous or
future NHANES cycles.
NCHS collects personally identifiable information (PII).
Participant level data items 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 low and respond to changing public health needs, NCHS
cycles in and out various components. In 2021-22, NHANES plans to
continue electronic consent procedures and implement multi-mode
eligibility screening. Our yearly goal for interview, exam, and post
exam components is 5,000 participants. To achieve the goal of 5,000
participants interviewed and examined, we need to screen approximately
7,000 individuals annually, a number lower than the approximately
15,000 screened in previous NHANES because NHANES 2021-22 will not
oversample based on race, Hispanic origin, or income. In addition,
there will be approximately 600 volunteers as part of a dress rehearsal
that takes place in two locations (300 volunteers per location.)
In NHANES 2021-22, the interviews that would historically occur via
in-person interviews (i.e., screening, family, and sampled participant)
will be conducted primarily over the phone. A significant reduction in
interview content will occur in 2021-22 so the length of the interviews
is feasible for the designed interview modes with reasonable burden to
the respondents. Changes will also be made to focus on retaining
questions directly related to the interpretation of examination or lab
data collected in the survey and relevant to assess the effect of the
pandemic. The program plans to add questions related to COVID-19 to the
survey to complement NHANES laboratory measures. The program will drop
select questions related to examination and laboratory content cycled
out of the survey in 2021-22.
Most sections of the NHANES interviews provide self-reported
information for use 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, nutrition program participation, and
dietary supplement use.
In 2021-22, NHANES will initiate screening for COVID-19 prior to
participants entering the Mobile Examination Center (MEC). Participants
will be reminded via text or telephone call not to report for their
examination appointment if they have been exposed or have tested
positive. When participants arrive for the examination appointment,
they will answer questions to determine if they have been potentially
exposed, they will have their temperature checked and finally will have
a COVID antibody test, prior to being allowed in the MEC.
The NHANES examinations that will remain unchanged include
anthropometry (all ages), blood pressure (8+), and liver elastography
(40).
The program is modifying select examination components in 2021-22.
These changes include dropping the DXA spine and femur scans while
continuing DXA whole body scans (ages 8-69), dropping all visual
assessment subcomponents of the standing balance examination, and
modifying the phlebotomy component.
Examination components cycled out in 2021-22 include: Oral Health,
Audiometry and Words-in Noise (4 audiometry questions are retained in
the Household Interview), and Cognitive Functioning assessment. NHANES
does not plan to conduct a Blood Pressure Methodology Study.
In previous NHANES cycles, while at the examination center,
participants were administered a Day 1 dietary recall interview via in-
person interview, and additional interview questions were asked (six
and older) both in-person and through Audio Computer-Assisted Self-
Interview (ACASI). A second 24-hour dietary recall (all ages) was also
scheduled to be conducted by phone 3-10 days later. In NHANES 2021-22,
both the Day 1 dietary recall and the second 24-hour dietary recall
will be completed as telephone interviews. The interview questions will
be completed
[[Page 3155]]
in the examination center primarily via ACASI.
The biospecimens collected for laboratory testing include urine and
blood. Serum, plasma, and urine specimens are stored for future
testing, including genetic studies, if the participant consents.
Consent to store DNA will continue in NHANES.
In 2021-22, we plan to add the following laboratory tests: Serum
Terpenes: [alpha]-Pinene, [beta]-Pinene, [beta]-Myrcene, [Delta]-3-
Carene, Limonene, [beta]-Caryophyllene, [alpha]-Humulene; Magnesium;
HPV, serum; Alpha-1-acid-glycoprotein (AGP); Vitamin D; Vitamin A;
Vitamin C; Acrylonitrile; Trans-fatty Acids; Blood
butyrylcholinesterase activity, blood butyrylcholinesterase
concentration, and red blood cell acetylcholinesterase activity;
Enterovirus D68; and COVID-19 serology.
In 2021-22, the following laboratory tests will be modified:
Hepatitis D (new testing method, reportable findings); Sex steroid
hormone panel (now starting at 3+); Urine VOC metabolites (adding as
additional 7); trans, trans-Muconic acid; N-Acetyl-S-phenyl-L-cysteine;
N-2-Furoylglycine; 2,5-Furandicarboxylic acid; 5-Hydroxymethyl-2-
furancarboxylic acid; 5-Hydroxymethyl-2-furoylglycine; and 5-Hydroxy-N-
methyl-2-pyrrolidone.
The laboratory tests cycling out for 2021-22 include: HPV swabs
(male and female); HPV oral rinse; Home water sample collection to test
for fluoride; Salt home collection for iodine assessment; Chromium/
Cobalt; Tuberculosis (TB); and Urine flow rate.
NHANES plans to conduct a dress rehearsal prior to fielding the
survey as usual. This will be conducted in two locations, among a
sample of approximately 300 volunteers per location (approximately 600
total). The program is taking this step to assure it maintains the
consistent quality associated with data collection, given the necessary
pause in field operations in 2020. The data collected during dress
rehearsal will be used for quality control and training purposes. Dress
rehearsal data will not be part of the 2021-22 public release.
NHANES plans to conduct developmental projects during NHANES 2021-
22 with a focus on planning for NHANES 2023 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 varies based on their level of
participation. For example, infants and children tend to have shorter
interviews and exams than adults because young people may have fewer
health conditions or medications to report, certain exams are only
conducted on individuals 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. There is no
cost to respondents other than their time. CDC requests a three-year
approval, with 65,630 annualized hours of burden.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
----------------------------------------------------------------------------------------------------------------
Individuals in households............. Screener................ 8,300 1 10/60
Individuals in households............. Household Interview..... 5,600 1 1
Individuals in households............. MEC Interview & 5,600 1 2.5
Examination.
Individuals in households............. Day 1 and Day 2 5,600 1 1.3
Telephone Dietary
Recall & Dietary
Supplements.
Individuals in households............. Flexible Consumer 5,600 1 20/60
Behavior Survey Phone
Follow-Up.
Individuals in households............. Developmental Projects & 3,500 1 3
Special Studies.
Individuals in households............. 24-hour wearable device 1,000 1 25
projects.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2021-00691 Filed 1-13-21; 8:45 am]
BILLING CODE 4163-18-P
