Information Collection

Survey to Conduct Formative Research for the Development of Dietary Behavior Evaluation Measures

IC 1220 under ICR 200512-0536-001 · OMB 0536-0065.

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IC Title:

Survey to Conduct Formative Research for the Development of Dietary Behavior Evaluation Measures

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: 436

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	645	645
Annual IC Time Burden (Hours)	195	195
Annual IC Cost Burden (Dollars)	0	0

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