Information Collection

24-Hour Dietary Recall Interview

IC 207194 under ICR 201306-0920-001 · OMB 0920-0982.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0982 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 11A_24 Hour Dietary Recall Interview.doc	Other-24-Hour Dietary Recall Intervi
Att 11B_Food Amounts Booklet.pdf Att 11B_Food Amounts Booklet	IC Document

IC Title:

24-Hour Dietary Recall Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-24-Hour Dietary Recall Interview-Introduction Script, Screenshots, and Interview Guide			Att 11A_24 Hour Dietary Recall Interview.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 252

Number of Respondents: 225

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 11B_Food Amounts Booklet	Att 11B_Food Amounts Booklet.pdf	06/04/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.