Female Interview Questionnaire

National Survey of Family Growth

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
NSFG FemaleCapiLite_Y3OMB_Jan08 (2).doc Other-Computer assisted Interview
H-1 2011-2015 National Survey of Family Growth Female Questi Attach H1-C8-Female-NSFG-Feb2012_Clean.docx Form
New questions for 2011-12 NSFG 2011 change pkg Att 1.docx Form
H-2 2011-2015 National Survey of Family Growth Female Questi Attach H2-C8-Female-NSFG-Feb2012_withCorrections.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

Information Collection (IC) Details

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:

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	H-1	2011-2015 National Survey of Family Growth Female Questionnaire (Clean Copy)	Attach H1-C8-Female-NSFG-Feb2012_Clean.docx	Yes	Yes	Fillable Fileable
Form	none	New questions for 2011-12	NSFG 2011 change pkg Att 1.docx	Yes	Yes	Fillable Fileable
Form	H-2	2011-2015 National Survey of Family Growth Female Questionnaire (with corrections)	Attach H2-C8-Female-NSFG-Feb2012_withCorrections.docx	No	No	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 %

	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

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.