Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Att 1 Pre-Screening Telephone Interview New 1334 334 0 Form 1 Att 1 Pre-Screening Telephone Interview
Att 10 FitnessTest protocol New 742 186 0 Form 7 Att 10 FitnessTest protocol
Att 3 Clinic Eligibility Screening Interview New 742 124 0 Form 2 Att 3 Clinic Eligibility Screening Interview
Att 5 Fasting Blood Protocol and Form New 1484 247 0 Form and Instruction 3 Att 5 Fasting Blood Protocol and Form
Att 6 DLW Protocol and Form.doc New 776 517 0 Form 4 Att 6 DLW Protocol and Form.doc
Att 7 RMR Protocol New 776 388 0 Form and Instruction 5 Att 7 RMR Protocol
Att 8 Heart Rate Monitor Log New 34 20 0 Form and Instruction 6 Att.8 Heart Rate Monitor Log
Att.11A and 11B PARQ PARmedX New 742 62 0 Form 8 Att.11A and 11B PARQ PARmedX
Att.12 PA Monitor Log New 1484 866 0 Form and Instruction 9 Att.12 PA Monitor Log
Att.13 Anthropometry New 2226 371 0 Form 10 Att.13 Anthropometry
Att.14 24 hr Urine Collection Log New 1484 1484 0 Form and Instruction 11 Att.14 24 hr Urine Collection Log
Att.15 Saliva collection instructions New 2226 371 0 Form and Instruction 12 Att.15 Saliva collection instructions
Att.16 7-Day Food Checklist iDATA New 1484 1484 0 Form and Instruction 13 Att.16 7-Day Food Checklist iDATA
Att.17 4 Day Food Record iDATA New 1484 1484 0 Form and Instruction 14 Att.17 4 Day Food Record iDATA
Att.18 Harvard Lifestyle Questionnaire for iDATA New 1484 247 0 Form 15 Att.18 Harvard Lifestyle Questionnaire for iDATA
Att.19 CHAMPS Activities Questionnaire New 1484 371 0 Form 16 Att.19 CHAMPS Activities Questionnaire
Att.20 AARP Physical Activity questions New 1484 247 0 Form 17 Att.20 AARP PA questions
Att.21 Sedentary Behavior Questionnaire New 1484 495 0 Form 18 Att.21 Sedentary Behavior Questionnaire
Att.22 Stanford Physical Activity Screener New 1484 198 0 Form 19 Att.22 Stanford Physical Activity Screener
Att.32 ASA24 New 4452 2226 0 Form 20 Att.32 ASA24
Att.33 DHQ New 1484 1113 0 Form 21 Att.33 DHQ
Att.34 ACT24 New 4452 2226 0 Form 22 Att.34 ACT24
Total burden requested under this ICR: 34826 15061 0  
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