Information Collection

Female Interview Questionnaire

IC 184020 under ICR 201106-0920-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
New questions for 2011-12 NSFG 2011 change pkg Att 1.docx	Form
Attach B1-Female-Jan09.doc Justification for Female Questionnaire	IC Document
NSFG 2011 change pkg Att 3.docx Questions deleted for 2011-12	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	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
Form	none	New questions for 2011-12	NSFG 2011 change pkg Att 1.docx	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	Previously Approved
Annual Number of Responses for this IC	2,750	2,750
Annual IC Time Burden (Hours)	4,125	4,125
Annual IC Cost Burden (Dollars)	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
Questions deleted for 2011-12	NSFG 2011 change pkg Att 3.docx	06/22/2011

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