Food Reporting Comparison Study (FORCS) and Food and Eating Assessment Study (FEAST) (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 13 Contact Information (Screen 5)	Form and Instruction	New	Available
Form 12 Att. 4A_Refusal Reasons and Demographics	Form and Instruction	New	Available
Form 12 Demographic & Health Questionnaire	Form and Instruction	Modified	Available
Form 10b ASA24	Form and Instruction	Modified	Available
Form 10a AMPM	Form and Instruction	Modified	Available
Form 8 Reminder Telephone Call	Form and Instruction	Modified	Available
Form 7 Screener Questionnaire for FEAST	Form and Instruction	Modified	Available
Form 6 Demographic, Health and Preference Qx	Form and Instruction	Modified	Available
Form 5 Demographic and Health Questionnaire	Form and Instruction	Modified	Available
Form 4 Automated Self-Administered 24-hour Recall (ASA24)	Form and Instruction	Modified	Available
Form 3 Automated Multiple Pass Method (AMPM)	Form and Instruction	Modified	Available
Form 2 Screener Questionnaire	Form and Instruction	Modified	Available
Form 1 Comparison Study Screenshot Information and Consent	Form and Instruction	Removed	Available
SSB-ASA24-FORCS-FEAST_7-7-2011.doc	Supporting Statement B	Uploaded 2011-07-08	Available
Attach 3 - FORCS invitation and follow-up letters 11-0330.doc	Supplementary Document	Uploaded 2011-07-07	Available
Attach 19 - Two PIAs.pdf	Supplementary Document	Uploaded 2011-07-07	Available
Attach 18 - FORCS voicemail and IVR message text.doc	Supplementary Document	Uploaded 2011-07-07	Available
Attach 17 - NCI IRB Approvals.pdf	Supplementary Document	Uploaded 2011-07-07	Available
Attach 16 - Privacy Act Memo.pdf	Supplementary Document	Uploaded 2011-07-07	Available
Attach 15 - FEAST thank you 11-0330.docx	Supplementary Document	Uploaded 2011-07-07	Available
Attach 14 - FORCS Thank You letters.11-0330.docx	Supplementary Document	Uploaded 2011-07-07	Available
Attach 13 - ASA24 External Working Group Members.doc	Supplementary Document	Uploaded 2011-07-07	Available
Attach 11 - FEAST consent 11-0330.docx	Supplementary Document	Uploaded 2011-07-07	Available
Cover Memo_FORCS FEAST.doc	Supplementary Document	Uploaded 2011-07-07	Available
SSA-ASA24-FORCS-FEAST_7-7-2011.docx	Supporting Statement A	Uploaded 2011-07-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198524	Contact Information for FORCS	Form and Instruction	New	Contact Information (Screen 5)
198523	Refusal Reasons and Demographics for FORCS	Form and Instruction	New	Att. 4A_Refusal Reasons and Demographics
190241	Demographic & Health Questionnaire for FEAST	Form and Instruction	Modified	Demographic & Health Questionnaire
190240	AMPM or ASA24 Dietary Recall for FEAST	Form and Instruction	Modified	ASA24
190240	AMPM or ASA24 Dietary Recall for FEAST	Form and Instruction	Modified	AMPM
190239	Eating 3 Meals for FEAST	Instruction	Modified
190238	Reminder Telephone Call for FEAST	Form and Instruction	Modified	Reminder Telephone Call
190237	Screener for FEAST	Form and Instruction	Modified	Screener Questionnaire for FEAST
190236	Demographic, Health and Preference Qx for FORCS	Form and Instruction	Modified	Demographic, Health and Preference Qx
190235	Demographic and Health Questionnaire for FORCS	Form and Instruction	Modified	Demographic and Health Questionnaire
190234	Automated Self-Administered 24-hour Recall (ASA24) for FORCS	Form and Instruction	Modified	Automated Self-Administered 24-hour Recall (ASA24)
190233	Automated Multiple Pass Method (AMPM) for FORCS	Form and Instruction	Modified	Automated Multiple Pass Method (AMPM)
190232	Screener FORCS	Form and Instruction	Modified	Screener Questionnaire
190231	24HR Recall Comparison Study Screenshots of Information and Consent	Form and Instruction	Removed	Comparison Study Screenshot Information and Consent

ICR Details

OMB Control No: 0925-0605	ICR Reference No: 201107-0925-003
Status: Historical Active	Previous ICR Reference No: 200908-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Food Reporting Comparison Study (FORCS) and Food and Eating Assessment Study (FEAST) (NCI)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/01/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/15/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	10/31/2011
Responses	4,255	0	3,499
Time Burden (Hours)	867	0	1,054
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:
	76 FR 21383	04/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 38669	07/01/2011
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
24HR Recall Comparison Study Screenshots of Information and Consent	1	Comparison Study Screenshot Information and Consent
AMPM or ASA24 Dietary Recall for FEAST	10a, 10b	AMPM ,   ASA24
Automated Multiple Pass Method (AMPM) for FORCS	3	Automated Multiple Pass Method (AMPM)
Automated Self-Administered 24-hour Recall (ASA24) for FORCS	4	Automated Self-Administered 24-hour Recall (ASA24)
Contact Information for FORCS	13	Contact Information (Screen 5)
Demographic & Health Questionnaire for FEAST	12	Demographic & Health Questionnaire
Demographic and Health Questionnaire for FORCS	5	Demographic and Health Questionnaire
Demographic, Health and Preference Qx for FORCS	6	Demographic, Health and Preference Qx
Eating 3 Meals for FEAST
Refusal Reasons and Demographics for FORCS	12	Att. 4A_Refusal Reasons and Demographics
Reminder Telephone Call for FEAST	8	Reminder Telephone Call
Screener FORCS	2	Screener Questionnaire
Screener for FEAST	7	Screener Questionnaire for FEAST

---

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	4,255	3,499	0	-650	1,406	0
Annual Time Burden (Hours)	867	1,054	0	-163	-24	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This adjustment is an extension of the previously approved project. The ASA24 Respondent application is currently available as a beta version only. There has been a delay in the completion of a fully functional Version 1 due to a contractual conflict over intellectual property rights with a subcontractor who designed the graphic user interface. A virtual work stoppage occurred for approximately a year as legal and contractual issues were discussed with contracts staff, legal counsel, and contractors. Ultimately, NCI decided to develop a new graphical user interface for the respondent application. This work began in August of 2010 with a new contract in place. Progress has been substantial and continuous. Version 1, which is ultimately the ASA24 tool that will be available to the public in the future, will be free of the bugs in the beta version and will offer improved functionality and features, such as additional optional modules (e.g., supplement intake) and a Spanish language option is expected to be available in the summer of 2011. The burden has decreased slightly since last submission as a result spreading the same number of anticipated participants over a period of 3 years, rather than 2 years, which was the time frame requested in the 2009 submission.

---

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 07/15/2011

---