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National Survey of Family Growth--Male Interview
National Survey of Family Growth
OMB: 0920-0314
IC ID: 188702
OMB.report
HHS/CDC
OMB 0920-0314
ICR 201504-0920-006
IC 188702
( )
⚠️ Notice: This information collection may be referencing outdated material.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
National Survey of Family Growth--Male Interview
Form and Instruction
ATTACHMENT 3:2011-2015 National Survey of Family Growth
NSFG 2013 OMBChange_Att3_C8_Year3_Male_capilite_CLEAN 012913.docx
Form and Instruction
ATTACHMENT 3:2011-2015 National Survey of Family Growth
NSFG 2013 OMBChange_Att3_C8_Year3_Male_capilite_red markup 012913.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Survey of Family Growth--Male Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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 3:2011-2015 National Survey of Family Growth MALE Questionnaire(Mark-Up for Year 3)
NSFG 2013 OMBChange_Att3_C8_Year3_Male_capilite_CLEAN 012913.docx
Yes
Yes
Fillable Fileable
Form and Instruction
None
ATTACHMENT 3:2011-2015 National Survey of Family Growth MALE Questionnaire (Mark-Up for Year 3 with red highlights)
NSFG 2013 OMBChange_Att3_C8_Year3_Male_capilite_red markup 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:
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 %
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
0
0
-2,250
0
0
2,250
Annual IC Time Burden (Hours)
0
0
-2,250
0
0
2,250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.