Information Collection

Health and Diet Survey -- 2004 Supplement

IC 37676 under ICR 200410-0910-003 · OMB 0910-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0545 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Health and Diet Survey -- 2004 Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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: 3,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,400	1,200	2,200
Annual IC Time Burden (Hours)	771	281	490
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.