Information Collection

Day 1 and Day 2 Telephone Dietary Recall & Dietary Supplement

IC 245121 under ICR 202302-0920-007 · OMB 0920-0950.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0950 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0950 Day 1 and Day 2 Telephone Dietary Recall & Dietary Supplement	Form and Instruction
0920-0950 Dietary Interview Att_3g_Dietary Interview_2022OCT13.docx	Form and Instruction
0920-0950 Dietary Interview Att_3g_Dietary Interview_2022OCT13.docx	Form and Instruction
Att_3h_Dietary Hand Card_2022OCT13.docx Dietary Hand Card	IC Document
Att_3h_Dietary Hand Card_2022OCT13.docx Dietary Hand Card	IC Document

IC Title:

Day 1 and Day 2 Telephone Dietary Recall & Dietary Supplement

Agency IC Tracking Number:

0920-0950

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	0920-0950	Dietary Interview	Att_3g_Dietary Interview_2022OCT13.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 37693

Number of Respondents: 5,600

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	Previously Approved
Annual Number of Responses for this IC	5,600	5,600
Annual IC Time Burden (Hours)	7,280	7,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Dietary Hand Card	Att_3h_Dietary Hand Card_2022OCT13.docx	03/08/2023

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