Information Collection

Assessment For The Adoption And Use Of Nutrition In Primary Care: How To Help Patients Improve Their Eating Habits

IC 111744 under ICR 199302-0925-002 · OMB 0925-0400.

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IC Title:

ASSESSMENT FOR THE ADOPTION AND USE OF NUTRITION IN PRIMARY CARE: HOW TO HELP PATIENTS IMPROVE THEIR EATING HABITS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 648

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	648	648
Annual IC Time Burden (Hours)	523	523
Annual IC Cost Burden (Dollars)	0	0

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