Health and Diet Survey

ICR 201403-0910-009

OMB: 0910-0545

Federal Form Document

Forms and Documents
Justification for No Material/Nonsubstantive Change
ICR Details
0910-0545 201403-0910-009
Historical Active 201105-0910-008
HHS/FDA 21633
Health and Diet Survey
No material or nonsubstantive change to a currently approved collection   No
Approved without change 04/11/2014
Retrieve Notice of Action (NOA) 03/26/2014
  Inventory as of this Action Requested Previously Approved
09/30/2014 09/30/2014 09/30/2014
18,227 0 18,227
1,301 0 1,301
0 0 0

The Health and Diet Survey is a voluntary consumer survey intended to gauge and track consumer attitudes, awareness, knowledge, and behavior regarding various topics related to health, nutrition and physical activity. The authority for FDA to collect the information derives from the FDA Commissioner's authority provided in section 903(d)(2) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 393(d)(2)). FDA and other Federal agencies will use the information from the Health and Diet Survey to evaluate and develop strategies and programs to encourage and help consumers adopt healthy lifestyles. The information will also help the FDA and other Federal agencies evaluate and track consumer awareness and behavior as outcome measures of their achievement in improving public health.

US Code: 21 USC 393 (d)(2) Name of Law: null

Not associated with rulemaking


  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 18,227 18,227 0 0 0 0
Annual Time Burden (Hours) 1,301 1,301 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Yes Part B of Supporting Statement
Domini Bean 301 796-5733 [email protected]


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:
    (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;
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.

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