Information Collection

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

IC 245121 under ICR 202603-0920-003 · OMB 0920-0950.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0950 Dietary Interview Day 1 Instrument Day 1 and Day 2 Telephone Dietary Recall & Follow-up	Form and Instruction
Form 0920-0950 MEC and Dietary Recruitment and Scheduling Instrument Day 1 and Day 2 Telephone Dietary Recall & Follow-up	Form and Instruction
Form 09520-0950 Dietary Interview Front End Instrument Day 1 and Day 2 Telephone Dietary Recall & Follow-up	Form and Instruction
Form 0920-0950 Dietary Incentive and Scheduling Instrument Day 1 and Day 2 Telephone Dietary Recall & Follow-up	Form and Instruction
Form 0920-0950 MEC and Dietary Reminder Call Instrument Day 1 and Day 2 Telephone Dietary Recall & Follow-up	Form and Instruction
Form 0920-0950 Flexible Consumer Behavior Survey Instrument 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

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: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0950	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	Yes	Yes	Fillable Fileable
Form and Instruction	09520-0950	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	Yes	Yes	Fillable Fileable
Form and Instruction	0920-0950	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	Previously Approved
Annual Number of Responses for this IC	5,882	5,882
Annual IC Time Burden (Hours)	5,882	5,882
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MEC Exam Hand Cards		09/20/2024
Dietary Interview Materials		09/23/2024

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

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