Health and Diet Survey -- 2004 Supplement

ICR 200406-0910-001

OMB: 0910-0545

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
6265
Migrated
ICR Details
0910-0545 200406-0910-001
Historical Active
HHS/FDA
Health and Diet Survey -- 2004 Supplement
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/03/2004
Retrieve Notice of Action (NOA) 06/01/2004
Approved consistent with FDA clarifications on 8/31/04 and 9/1/04. FDA shall submit the final versions of the questionnaire and related material after pre-testing for OMB approval using the change worksheet (83-C). FDA shall submit a summary of the survey results including the non-response analysis upon completion of the study.
  Inventory as of this Action Requested Previously Approved
09/30/2007 09/30/2007
2,200 0 0
490 0 0
0 0 0

Randomly selected adults in the U.S. will be interviewed by telephone about knowledge of dietary fats and their relationships to the risk of coronary heart disease as well as attitudes toward diet, health and physical activity. The information will help the agency ensure proper performance of its functions by (1) establishing baseline data for the development of performance indicators to identify and measure incremental improvements in consumer knowledge of the fat-heart disease relationships, and (2)enriching understanding of consumer attitudes to explore effective communication strategies and messages to assist........

None
None


No

1
IC Title Form No. Form Name
Health and Diet Survey -- 2004 Supplement

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,200 0 0 2,200 0 0
Annual Time Burden (Hours) 490 0 0 490 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/01/2004


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