Information Collection

Health and Diet Survey

IC 183124 under ICR 200712-0910-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
0545 HDS 2008 - Draft questionnaire - 12-4-07.doc Other-survey
0545 Dietary Guidelines Survey_English_FINAL-8-30-07.doc Other-guidelines

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health and Diet Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-survey			0545 HDS 2008 - Draft questionnaire - 12-4-07.doc		No	No	Paper Only
Other-guidelines			0545 Dietary Guidelines Survey_English_FINAL-8-30-07.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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