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

interactive Comprehensive Lifestyle Interview by Computer (iCLIC) Study (NCI)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form CAM_1 Activities Completed by Time in 24 Hours (ACT-24) Form
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
CAM_1 Complementary and Alternative Medicine Use consumer materials survey 7 29 08 (7)[1].doc Form

Information Collection (IC) Details

IC Title:	Activities Completed by Time in 24 Hours (ACT-24)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	CAM_1	Complementary and Alternative Medicine Use	consumer materials survey 7 29 08 (7)[1].doc		Yes	Yes	Fillable Fileable
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: 1,458	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,836	1,920	2,916
Annual IC Time Burden (Hours)	1,689	960	729
Annual IC Cost Burden (Dollars)	0	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.