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3-Month 24-Hour Dietary Recall
Feeding My Baby and Me: Infant Feeding Practices Study III
OMB: 0920-1333
IC ID: 244213
OMB.report
HHS/CDC
OMB 0920-1333
ICR 202106-0920-010
IC 244213
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1333 can be found here:
2023-10-19 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
3-Month 24-Hour Dietary Recall
Form and Instruction
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Form and Instruction
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
3-Month 24-Hour Dietary Recall
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Form and Instruction
n/a
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0160, Records of Subjects in Health Promotion and Education Studies
FR Citation:
51 FR 42434
Number of Respondents:
750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
750
0
0
0
0
750
Annual IC Time Burden (Hours)
300
0
0
0
0
300
Annual IC Cost Burden (Dollars)
8,532
0
0
0
0
8,532
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.