Salt Sources Study

OMB Control No: 0920-0982	ICR Reference No: 201401-0920-004
Status: Historical Active	Previous ICR Reference No: 201306-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 21303
Title: Salt Sources Study
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/13/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/09/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	09/30/2015	09/30/2015
Responses	4,890	0	4,890
Time Burden (Hours)	1,372	0	1,372
Cost Burden (Dollars)	0	0	0

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Abstract: CDC plans to conduct a two-year study to obtain current, accurate information about sources of dietary sodium including sodium inherent in foods, sodium in processed and restaurant foods, and salt added to food at the table and during cooking. Information will be collected from diverse groups of adults at three study sites in three distinct geographic regions. Minor changes are requested to several forms after a pilot period.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act-Research and Investigations

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 13

IC Title Form No. Form Name 24-Hour Urine Collection none 24-hour Urine Collection Follow-Up Urine Collection Questionnaire none Salt Sources Study--Follow-up Urine Collection Questionnaire Study Salt Supplement Questionnaire none Study Salt Questionnaire Discretionary Salt Use None Discretionary Salt Use Questions from NHANES 2009 Telephone Recruitment and Screening none 4a - Telephone recruitment and screening Participant Questionnaire none Participant Questionnaire Height and Weight Data Collection None Height and Weight Form Study Orientation Home Tap Water Questionnaire none Home Tap Water Questionnaire 24-Hour Dietary Recall Interview none 24-hour Dietary Recall Food Record Form none Food Record Duplicate Salt Sample Collection none, none Bag Label Salt Added at the Table ,   Bag Label Salt Added in Food Prep Water Collection

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,890	4,890	0	0	0	0
Annual Time Burden (Hours)	1,372	1,372	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $547,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Shari Steinberg 404 639-4942 [email protected]

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 01/09/2014

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