Information Collection

Female Interview Questionnaire

IC 184020 under ICR 200904-0920-005 · OMB 0920-0314.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0314 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NSFG FemaleCapiLite_Y3OMB_Jan08 (2).doc	Other-Computer assisted Interview
1 National Survey of Family Growth Female Questionnaire in NSFG 2009 Attach H- FemaleCapiLite_Y3.doc	Form and Instruction
Attach B1-Female-Jan09.doc Justification for Female Questionnaire	IC Document

IC Title:

Female Interview Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Computer assisted Interview			NSFG FemaleCapiLite_Y3OMB_Jan08 (2).doc		Yes	Yes	Fillable Printable
Form and Instruction	1	National Survey of Family Growth Female Questionnaire in Capi-Lite Format	NSFG 2009 Attach H- FemaleCapiLite_Y3.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Health and Demographics Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 37693

Number of Respondents: 2,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,750	-12,223	14,973
Annual IC Time Burden (Hours)	4,125	-2,058	6,183
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Female Questionnaire	Attach B1-Female-Jan09.doc	03/30/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.