Information Collection

National Survey of Family Growth--Male Interview

IC 188702 under ICR 201009-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 2 National Survey of Family Growth--Male Interview	Form and Instruction
2 National Survey of Family Growth Male Questionnaire in C NSFG 2009 Attach I-C7MaleCapiLite_Y3.doc	Form and Instruction
Attach B2-Male-Jan09.doc Justification for the Male Questionnaire	IC Document

IC Title:

National Survey of Family Growth--Male Interview

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
Form and Instruction	2	National Survey of Family Growth Male Questionnaire in Capi-Lite Format	NSFG 2009 Attach I-C7MaleCapiLite_Y3.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population

FR Citation: 49 FR 187

Number of Respondents: 2,250

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	Previously Approved
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for the Male Questionnaire	Attach B2-Male-Jan09.doc	03/30/2009

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