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Prenatal 24-Hour Dietary Recall (Replicate)
Feeding My Baby and Me: Infant Feeding Practices Study III
OMB: 0920-1333
IC ID: 244207
OMB.report
HHS/CDC
OMB 0920-1333
ICR 202310-0920-003
IC 244207
( )
Documents and Forms
Document Name
Document Type
Prenatal 24-Hour Dietary Recall (Replicate)
Form and Instruction
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Form and Instruction
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Prenatal 24-Hour Dietary Recall (Replicate)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
n/a
ASA24
Att.4q-ASA24 Dietary Recall Scrnshts Final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0160, Records of Subjects in Health Promotion and Education Studies
FR Citation:
51 FR 42434
Number of Respondents:
90
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
90
0
0
0
0
90
Annual IC Time Burden (Hours)
36
0
0
0
0
36
Annual IC Cost Burden (Dollars)
0
0
-1,024
0
0
1,024
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.