Agency In Formation Collection Requirements

DEPARTMENT OF DEFENSE

Department of the Air Force

Agency In Formation Collection Requirements

AGENCY: 89th Medical Support Squadron, Andrews Air Force Base, MD.

ACTION: Notice.

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In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction

Act of 1995, the Office of the Associate Chief, BSC for Dietetics,

89MDSS/SGSD, announces the proposed reinstatement of a public

information collection and seeks public comment on the provisions

thereof. Comments are invited on: (a) whether the proposed collection

of information is necessary for the proper performance of the functions

of the agency, including whether the information shall have

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practical utility; (b) the accuracy of the agency's estimate of the

burden of the proposed information collection; (c) ways to enhance the

quality, utility, and clarity of the information to be collected; and

(d) ways to minimize the burden of the information collection on

respondents, including through the use of automated collection

techniques or other forms of information technology.

DATES: Consideration will be given to all comments received by

September 22, 1997.

ADDRESSES: Written comments and recommendations on the proposed

information collection should be sent to 89 MDSS/SGSD, 1050 W.

Perimeter Road, STE BB-2, Andrews Air Force Base, MD, 20762-6600, ATTN:

Maj Sharon Heffner.

FOR FURTHER INFORMATION CONTACT: To request more information on this

proposed information collection or to obtain a copy of the proposal and

associated collection instruments, please write to the above address,

or call 89 MDSS/SGSD at (301) 981-8070.

Title, Associated Forms, and OMB Number: Nutritional Assessment of

Dietary Intake, AF Form 2572, OMB Number 0701-0130.

Needs and Uses: The information collection requirement is necessary

to gather information from patients concerning their daily food intake

and exercise habits. This information is used by the diet counselor to

assess adequacy and make recommendations for changes in intake in

compliance with a prescribed diet. This assessment is required by the

Joint Commission on Accreditation of Healthcare Organizations. The

information is used within individual military hospital settings only.

Affected Public: Individual patients referred to Nutritional

Medicine Flight for dietary counseling.

Annual Burden Hours: 22,500.

Number of Respondents: 90,000.

Responses per Respondent: 1.

Average Burden per Respondent: 15 minutes.

Frequency: Upon referral to Nutritional Medicine for diet

counseling.

SUPPLEMENTARY INFORMATION:

Summary of Information Collection

Respondents are medical beneficiaries referred for nutrition

counseling. Information is requested from these individuals to

determine their usual daily food intake and exercise patterns. The diet

counselor assesses this information and determines adequacy of the

diet, as well as conformance of the usual diet with prescribed dietary

guidelines. Every patient's dietary habits are assessed upon referral.

Barbara A. Carmichael,

Air Force Federal Register Liaison Officer.

[FR Doc. 97-19163 Filed 7-21-97; 8:45 am]

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