Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
24-Hour Dietary Recall Interview New 900 450 0 Other-24-Hour Dietary Recall Interview-Introduction Script, Screenshots, and Interview Guide
24-Hour Urine Collection New 300 250 0 Form None 24-Hour Urine Collection Form
Discretionary Salt Use New 225 19 0 Form None Discretionary Salt Use Questions from NHANES 2009
Duplicate Salt Sample Collection New 900 150 0 Form None Table Salt Collection
Form None Table Salt Collection
Follow-Up Urine Collection Questionnaire New 300 50 0 Form None Salt Sources Study--Follow-up Urine Collection Questionnaire
Food Record Form New 900 225 0 Form None Food Record Form
Height and Weight Data Collection New 225 38 0 Form None Height and Weight Form
Home Tap Water Questionnaire New 225 19 0 Form None Home Tap Water Questionnaire
Participant Questionnaire New 225 38 0 Form None Participant Questionnaire
Study Orientation New 225 75 0 Instruction
Instruction
Study Salt Supplement Questionnaire New 225 19 0 Form None Study Salt Supplement Questionnaire
Telephone Recruitment and Screening New 225 38 0 Form and Instruction None Telephone Recruitment and Screening Script
Water Collection New 15 1 0 Instruction
Total burden requested under this ICR: 4890 1372 0  
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