Activities Completed by Time in 24 Hours (ACT-24)

NIH-AARP Comprehensive Lifestyle Interview by Computer (CLIC) Study (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0594 can be found here:

Documents and Forms

Document Name Document Type
Att 4-2A_ACT24BurdenPage.pdf pa24prd.westat.com Instruction
4-2B ACT-24 instrument Att 4-2B_Instrument ACT-24.pdf pa24prd.westat.com Form

Information Collection (IC) Details

IC Title:	Activities Completed by Time in 24 Hours (ACT-24)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Att 4-2A_ACT24BurdenPage.pdf	http://pa24prd.westat.com	Yes	Yes	Fillable Fileable
Form	4-2B	ACT-24 instrument	Att 4-2B_Instrument ACT-24.pdf	http://pa24prd.westat.com	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,036	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,760	1,760
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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