Student 24-Hour Dietary Recall

NATIONAL YOUTH PHYSICAL ACTIVITY AND NUTRITION STUDY

Documents and Forms

Document Name Document Type
Appendix_F_-_24-Hour_Dietary_Recall_Interview_Guide[1].doc Instruction
Appendix F1 - Food Amounts Booklet.pdf Appendix F1 - Food Amounts Booklet IC Document

Information Collection (IC) Details

IC Title:	Student 24-Hour Dietary Recall	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
Instruction			Appendix_F_-_24-Hour_Dietary_Recall_Interview_Guide[1].doc		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 750	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
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	1,125	1,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F1 - Food Amounts Booklet	Appendix F1 - Food Amounts Booklet.pdf	06/16/2009

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