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Female Interview Questionnaire --
National Survey of Family Growth
OMB: 0920-0314
IC ID: 184020
OMB.report
HHS/CDC
OMB 0920-0314
ICR 201302-0920-002
IC 184020
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0314 can be found here:
2024-04-03 - No material or nonsubstantive change to a currently approved collection
2023-08-28 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Female Interview Questionnaire --
Form and Instruction
Attachment 2: 2011-2015 National Survey of Family Growth
NSFG 2013 OMBChange_Att2_C8_Year3_Female_capilite_ red markup 012913.docx
Form and Instruction
Attachment 2: 2011-2015 National Survey of Family Growth
NSFG 2013 OMBChange_Att2_C8_Year3_Female_capilite_clean 012913.docx
Form and Instruction
NSFG 2013 Attach 6-Incentive Expt--D8 rev 040113.docx
NSFG 2013 Attach 6-Incentive Expt--D8 rev 040113
IC Document
Information Collection (IC) Details
View Information Collection (IC)
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
None
Attachment 2: 2011-2015 National Survey of Family GrowthFEMALE Questionnaire(Mark-Up for Year 3 with red highlights)
NSFG 2013 OMBChange_Att2_C8_Year3_Female_capilite_ red markup 012913.docx
Yes
Yes
Fillable Fileable
Form and Instruction
None
Attachment 2: 2011-2015 National Survey of Family Growth FEMALE Questionnaire (Mark-Up for Year 3)
NSFG 2013 OMBChange_Att2_C8_Year3_Female_capilite_clean 012913.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,750
0
0
0
0
2,750
Annual IC Time Burden (Hours)
4,125
0
0
0
0
4,125
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NSFG 2013 Attach 6-Incentive Expt--D8 rev 040113
NSFG 2013 Attach 6-Incentive Expt--D8 rev 040113.docx
04/02/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.