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

[NCHS] National Health and Nutrition Examination Survey (NHANES)

Documents and Forms

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 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
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 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_11g_Dietary_Interview_Materials_2024JULY16.pdf Dietary Interview Materials IC Document

Information Collection (IC) Details

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:

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

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 %

	Requested	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

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.