OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health and Diet Survey

OMB 0910-0545 · HHS/FDA.

OMB 0910-0545

Latest Forms, Documents, and Supporting Material

Document Name
0545 Health and Diet Survey SSB 2017 Extension.pdf Supporting Statement B
0545 Health and Diet Survey 2017 SSA Extension.pdf Supporting Statement A
Pretest Other-Questionnaire
Cognitive Interview Other-Questionnaire
Survey screener Other-Questionnaire
Cognitive interview screener Other-Questionnaire
Survey Other-Questionnaire
Pretest screener Other-Questionnaire

All Historical Document Collections

201712-0910-003 Withdrawn and continue	Extension without change of a currently approved collection	2017-12-28
201409-0910-003 Approved with change	Revision of a currently approved collection	2014-09-29
201403-0910-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-03-26
201310-0910-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-10-24
201105-0910-008 Approved with change	Revision of a currently approved collection	2011-05-27
200810-0910-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-10-29
200806-0910-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-06-18
200712-0910-003 Approved with change	Extension without change of a currently approved collection	2007-12-18
200510-0910-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-10-26
200507-0910-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-07-13
200410-0910-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2004-10-29
200406-0910-001 Approved with change	New collection (Request for a new OMB Control Number)	2004-06-01