Information Collection

Flexible Consumer Behavior Survey Phone Follow-Up

IC 245123 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 2 Instrument 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
Att_3j_FCBS PFU Hand Card_2022OCT13.docx FCBS Phone Follow-up Hand Card	IC Document

IC Title:

Agency IC Tracking Number:

0920-0590

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0950				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	Previously Approved
Annual Number of Responses for this IC	5,882	5,882
Annual IC Time Burden (Hours)	3,529	3,529
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FCBS Phone Follow-up Hand Card		03/08/2023

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

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