Information Collection

Day 1 and Day 2 Telephone Dietary Recall & Follow-up

IC 245121 under ICR 202409-0920-012 · OMB 0920-0950.

⚠️ Notice: This information collection may be referencing outdated material.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

2026-03-04 - No material or nonsubstantive change to a currently approved collection
2025-05-01 - No material or nonsubstantive change to a currently approved collection

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 & Follow-up	Form and Instruction
0920-0950 Dietary Interview Day 1 Instrument Attachment_6j_Day1 Dietary Instrument_2024JULY16.docx	Form and Instruction
0920-0950 Dietary Interview Day 1 Instrument Attachment_6j_Day1 Dietary Instrument_2024JULY16.docx	Form and Instruction
0920-0950 MEC and Dietary Recruitment and Scheduling Instrument Attachment_6f_MEC_Dietary_RecruitmentSchedulingInstrument_2024JULY16.docx	Form and Instruction
0920-0950 MEC and Dietary Recruitment and Scheduling Instrument Attachment_6f_MEC_Dietary_RecruitmentSchedulingInstrument_2024JULY16.docx	Form and Instruction
09520-0950 Dietary Interview Front End Instrument Attachment_6i_Dietary Front End Instrument_2024JULY16.docx	Form and Instruction
09520-0950 Dietary Interview Front End Instrument Attachment_6i_Dietary Front End Instrument_2024JULY16.docx	Form and Instruction
0920-0950 Dietary Incentive and Scheduling Instrument Attachment_6l_Dietary Incentives and Scheduling Instrument_2024JULY16.docx	Form and Instruction
0920-0950 Dietary Incentive and Scheduling Instrument Attachment_6l_Dietary Incentives and Scheduling Instrument_2024JULY16.docx	Form and Instruction
0920-0950 MEC and Dietary Reminder Call Instrument Attachment_6o_MEC_Dietary_ReminderCallInstrument_2024JULY16.docx	Form and Instruction
0920-0950 MEC and Dietary Reminder Call Instrument Attachment_6o_MEC_Dietary_ReminderCallInstrument_2024JULY16.docx	Form and Instruction
0920-0950 Flexible Consumer Behavior Survey Instrument Attachment_6m_FCBS Instrument_2024JULY16.docx	Form and Instruction
0920-0950 Flexible Consumer Behavior Survey Instrument Attachment_6m_FCBS Instrument_2024JULY16.docx	Form and Instruction
Attachment_6e_Home Interview Hand Cards_2024JULY16.docx MEC Exam Hand Cards	IC Document
Attachment_6e_Home Interview Hand Cards_2024JULY16.docx MEC Exam Hand Cards	IC Document
Attachment_11g_Dietary_Interview_Materials_2024JULY16.pdf Dietary Interview Materials	IC Document
Attachment_11g_Dietary_Interview_Materials_2024JULY16.pdf Dietary Interview Materials	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Day 1 and Day 2 Telephone Dietary Recall & Follow-up

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0950	Dietary Interview Day 1 Instrument	Attachment_6j_Day1 Dietary Instrument_2024JULY16.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	MEC and Dietary Recruitment and Scheduling Instrument	Attachment_6f_MEC_Dietary_RecruitmentSchedulingInstrument_2024JULY16.docx	Yes	Yes	Fillable Fileable
Form and Instruction	09520-0950	Dietary Interview Front End Instrument	Attachment_6i_Dietary Front End Instrument_2024JULY16.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	Dietary Incentive and Scheduling Instrument	Attachment_6l_Dietary Incentives and Scheduling Instrument_2024JULY16.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	MEC and Dietary Reminder Call Instrument	Attachment_6o_MEC_Dietary_ReminderCallInstrument_2024JULY16.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	Flexible Consumer Behavior Survey Instrument	Attachment_6m_FCBS Instrument_2024JULY16.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: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 37693

Number of Respondents: 5,882

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,882	282	5,600
Annual IC Time Burden (Hours)	5,882	-1,398	7,280
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MEC Exam Hand Cards	Attachment_6e_Home Interview Hand Cards_2024JULY16.docx	09/20/2024
Dietary Interview Materials	Attachment_11g_Dietary_Interview_Materials_2024JULY16.pdf	09/23/2024

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