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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 245121 under ICR 202504-0920-015 · OMB 0920-0950.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Day 1 and Day 2 Telephone Dietary Recall & Follow-up 0920-0950
 
No Unchanged
 
Voluntary
 

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 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

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

5,882 0
   
Individuals or Households
 
   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 5,882 0 0 0 0 5,882
Annual IC Time Burden (Hours) 5,882 0 0 0 0 5,882
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.