Att.34 ACT24

Interactive Diet and Activity Tracking in AARP (iDATA): Biomarker Based Validation Study (NCI)

Documents and Forms

Document Name Document Type
Form 22 Att.34 ACT24 Form
22 Att.34 ACT24 Att.34 ACT24.docx act24demo.westat.com Form

Information Collection (IC) Details

IC Title:	Att.34 ACT24	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
Form	22	Att.34 ACT24	Att.34 ACT24.docx	http://act24demo.westat.com	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: SORN #09-25-200, "Clinical, Basic, and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD."	FR Citation: 67 FR 60776

Number of Respondents: 742	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
Annual Number of Responses for this IC	4,452	4,452
Annual IC Time Burden (Hours)	2,226	2,226
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.