Information Collection

Activities Completed by Time in 24 Hours (ACT-24)

IC 186340 under ICR 200808-0925-004 · OMB 0925-0594.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0594 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 4-2A_ACT24BurdenPage.pdf pa24prd.westat.com	Instruction
4-2B ACT-24 instrument Att 4-2B_Instrument ACT-24.pdf pa24prd.westat.com	Form

IC Title:

Activities Completed by Time in 24 Hours (ACT-24)

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Att 4-2A_ACT24BurdenPage.pdf	http://pa24prd.westat.com	Yes	Yes	Fillable Fileable
Form	4-2B	ACT-24 instrument	Att 4-2B_Instrument ACT-24.pdf	http://pa24prd.westat.com	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,036

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,760	1,760
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.