AMPM or ASA24 Dietary Recall

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0605 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AMPM or ASA24 Dietary Recall Form and Instruction
1 AMPM Attach1 - AMPM Screenshots.pdf Form and Instruction
5 ASA24 Attach2 - ASA24 Screenshots.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	AMPM or ASA24 Dietary Recall	Agency IC Tracking Number:

Is this a Common Form?		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
Form and Instruction	1	AMPM	Attach1 - AMPM Screenshots.pdf		Yes	Yes	Printable Only
Form and Instruction	5	ASA24	Attach2 - ASA24 Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	80	80
Annual IC Time Burden (Hours)	40	40
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.