This document provides operational guidance for collection and tabulation of the Household Hunger Scale (HHS)—a simple indicator to measure household hunger in food-insecure areas. The HHS is different from other household food insecurity indicators in that it has been specifically developed and validated for cross-cultural use.This means that the HHS produces valid and comparable results across cultures and settings so that the status of different population groups can be described in a meaningful and comparable way to assess where resources and programmatic interventions are needed and to design, implement, monitor, and evaluate policy and programmatic interventions.