Health and Diet Survey-General Topics : Screener

Health and Diet Survey

OMB: 0910-0545

IC ID: 183122

Documents and Forms
Information Collection (IC) Details

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Health and Diet Survey-General Topics : Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey 0545_HDS_2011_-_Draft_questionnaire May 26.doc No No Paper Only
Other-Survey 0545_HDS_2011_-_Draft_Dietary_Guidelines_questionnaire May 26.doc No No Paper Only

Health Consumer Health and Safety

 

10,000 0
   
Individuals or Households
 
   0 %

  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 10,000 0 0 0 0 10,000
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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