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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.