24-hour Dietary Recall Comparison Study and National Cancer Institute Validation and Observational Feeding Study (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 11 Demographic-Health Questionnaire Observational Feeding Study	Form and Instruction	New	Available
Form 1 AMPM or ASA24 Dietary Recall	Form and Instruction	New	Available
Form 8 Reminder Telephone Call - Observational Feeding Study	Form and Instruction	New	Available
Form 7 Screening Script - Observational Feeding Study	Form and Instruction	New	Available
Form 6 Preference Survey - 24HR Dietary Recall Comparison Study	Form and Instruction	New	Available
Form 5 Demographic-Health Questionnaire - 24HR Dietary Recall Comparison Study	Form and Instruction	New	Available
Form 2 ASA24 Screenshots	Form and Instruction	New	Available
Form 3 Automated Multiple Pass Method (AMPM)	Form and Instruction	New	Available
Form 2 Screening Script - 24HR Recall Comparison Study	Form and Instruction	New	Available
Form 1 24HR Recall Comparison Study Screenshots of Information and Consent	Form and Instruction	New	Available
SSB_ASA24_8-3-09.doc	Supporting Statement B	Uploaded 2009-08-03	Available
Attach17 - IRB Approval.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attach16 - Privacy Act Memo.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attach15 - Observational feeding study thank you letter.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attach14 - 24HR comparison study thank you letter.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attach13 - ASA24 External Working Group Members.doc	Supplementary Document	Uploaded 2009-08-03	Available
Attach11 - Observational feeding informed consent.doc	Supplementary Document	Uploaded 2009-08-03	Repair queued
Attach3 - 24HR comparison invitation Letter_ final.doc	Supplementary Document	Uploaded 2009-08-03	Available
Cover Memo_ASA24_7-31-09.doc	Supplementary Document	Uploaded 2009-07-31	Available
SSA_ASA24_8-3-09.doc	Supporting Statement A	Uploaded 2009-08-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190241	Demographic-Health Questionnaire Observational Feeding Study	Form and Instruction	New
190240	AMPM or ASA24 Dietary Recall	Form and Instruction	New
190239	Eating 3 Meals	Instruction	New
190238	Reminder Telephone Call - Observational Feeding Study	Form and Instruction	New
190237	Screening Script - Observational Feeding Study	Form and Instruction	New
190236	Preference Survey - 24HR Dietary Recall Comparison Study	Form and Instruction	New
190235	Demographic-Health Questionnaire - 24HR Dietary Recall Comparison Study	Form and Instruction	New
190234	ASA24 Screenshots	Form and Instruction	New
190233	Automated Multiple Pass Method (AMPM)	Form and Instruction	New
190232	Screening Script - 24HR Recall Comparison Study	Form and Instruction	New
190231	24HR Recall Comparison Study Screenshots of Information and Consent	Form and Instruction	New

ICR Details

OMB Control No: 0925-0605	ICR Reference No: 200908-0925-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: 24-hour Dietary Recall Comparison Study and National Cancer Institute Validation and Observational Feeding Study (NCI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/20/2009
	Date Received in OIRA: 08/10/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	24 Months From Approved
Responses	3,499	0	0
Time Burden (Hours)	1,054	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Currently, the interviewer-administered 24-hour dietary recall (24HR) is considered the best dietary data collection methodology. It provides the highest quality and least biased food intake data for a single day (past 24 hours). The newly developed web-based Automated Self-Administered 24-hour Recall (ASA24) transforms 24HR methodology into a convenient, self-administered, low-cost method of collecting dietary intake data. Because it is web-based, self-administered, and uses 24HR methodology, the ASA24 makes it feasible to collect multiple days of dietary intake data in large-scale studies. The web-based, automated data collection system also offers the advantage of automated coding of food items and calculation of nutrient intakes. A single day of 24HR data will be collected from a sample of eligible participants either once or twice within a six week period using the ASA24 and the AMPM. Dietary intake from the new ASA24 method will be compared to dietary intake data from the standard AMPM method. The findings from this study will provide information on the feasibility and validity of the ASA24 relative to the standard AMPM methodology. The ASA24 method would offer a low-cost alternative to the AMPM method, and thus could allow a wider use of 24HR methodology within existing resources.

---

Authorizing Statute(s): US Code: 42 USC 285a-1 Name of Law: Public Health Service Act
   US Code: 42 USC 285a-2 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 26702	06/03/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 39962	08/10/2009
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
ASA24 Screenshots	2	ASA24
Demographic-Health Questionnaire - 24HR Dietary Recall Comparison Study	5	Demographic-Health Qx - Comparison Study
Preference Survey - 24HR Dietary Recall Comparison Study	6	Preference Survey
Screening Script - Observational Feeding Study	7	Screen Script
Reminder Telephone Call - Observational Feeding Study	8	Telephone Call
Eating 3 Meals
AMPM or ASA24 Dietary Recall	1, 5	AMPM ,   ASA24
Demographic-Health Questionnaire Observational Feeding Study	11	Demographic-Health Questionnaire Feeding Study
24HR Recall Comparison Study Screenshots of Information and Consent	1	Comparison Study Screenshot Information and Consent
Screening Script - 24HR Recall Comparison Study	2	Screener Comparison Study
Automated Multiple Pass Method (AMPM)	3	AMPM

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,499	0	0	3,499	0	0
Annual Time Burden (Hours)	1,054	0	0	1,054	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $547,487

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/10/2009

---