Information Collection

Female Interview Questionnaire --

IC 184020 under ICR 201302-0920-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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
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

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
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.