Information Collection

Flexible Consumer Behavior Survey Phone Follow-Up

IC 245123 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⚠️ Notice: This information collection may be referencing outdated material.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:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0950 Flexible Consumer Behavior Survey Phone Follow-Up	Form and Instruction
0920-0950 Dietary Interview Day 2 Instrument Attachment_6k_Day2 Dietary Instrument_2024JULY16.docx	Form and Instruction
0920-0950 Dietary Interview Day 2 Instrument Attachment_6k_Day2 Dietary Instrument_2024JULY16.docx	Form and Instruction
Att_3j_FCBS PFU Hand Card_2022OCT13.docx FCBS Phone Follow-up Hand Card	IC Document
Att_3j_FCBS PFU Hand Card_2022OCT13.docx FCBS Phone Follow-up Hand Card	IC Document

IC Title:

Flexible Consumer Behavior Survey Phone Follow-Up

Agency IC Tracking Number:

0920-0590

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 Day 2 Instrument	Attachment_6k_Day2 Dietary 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 %

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)	3,529	1,662	1,867
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FCBS Phone Follow-up Hand Card	Att_3j_FCBS PFU 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.