OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

AMPM or ASA24 Dietary Recall for FEAST

IC 190240 under ICR 201107-0925-003 · OMB 0925-0605.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 10a
AMPM or ASA24 Dietary Recall for FEAST		 Form and Instruction
10a AMPM
Attach 1 - AMPM Screenshots.11-0330.docx 		Form and Instruction
10b ASA24
Attach 2 - ASA24 Screenshots 11-0330.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10a AMPM Attach 1 - AMPM Screenshots.11-0330.docx Yes Yes Fillable Fileable
Form and Instruction 10b ASA24 Attach 2 - ASA24 Screenshots 11-0330.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 33 0 0 -47 0 80
Annual IC Time Burden (Hours) 17 0 0 -23 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.