National Survey of Family Growth

Forms and Documents

Document	Type	Status	Availability
Main Interview Verification	Form	Modified	Repair queued
Screener Verification	Form	Modified	Available
Male Questionnaire	Form and Instruction	Modified	Repair queued
Female Questionnaire	Form and Instruction	Modified	Repair queued
Household Screener Instrument	Form and Instruction	Modified	Available
ATT_P_SplitStudyPrelimResults.docx	Supplementary Document	Uploaded 2018-04-25	Available
ATT_O_2017NonresponseBias_10Jan2018.docx	Supplementary Document	Uploaded 2018-04-25	Available
ATT_N_2017ERBContApproval.pdf	Supplementary Document	Uploaded 2018-04-25	Available
ATT_M-InterviewObsForm.doc	Supplementary Document	Uploaded 2018-04-25	Repair queued
ATT_H7_2017_NSFG__Interviewer_Authorization_Letter.doc	Supplementary Document	Uploaded 2018-04-25	Available
ATT_H6_2017_NSFG_FamilyFactSheet_English.pdf	Supplementary Document	Uploaded 2018-04-25	Available
ATT_H5_2017_NSFG_Conf_Broch_Eng.pdf	Supplementary Document	Uploaded 2018-04-25	Available
ATT_H4_2017_NSFG_Q&ABrochureEng.pdf	Supplementary Document	Uploaded 2018-04-25	Available
ATT_H3_2017_NSFG_ConsentAssentForms.docx	Supplementary Document	Uploaded 2018-04-25	Repair queued
ATT_H2_2017_NSFG_AdvResp_Letters.docx	Supplementary Document	Uploaded 2018-04-25	Repair queued
ATT_H1_2017_NSFG_AdvHH_Letters.docx	Supplementary Document	Uploaded 2018-04-25	Repair queued
ATT_G2_2014_NSFG_AdvWrkshp.pdf	Supplementary Document	Uploaded 2018-04-25	Available
ATT_G1_2013_NSFG_AdvWrkshp.docx	Supplementary Document	Uploaded 2018-04-25	Repair queued
ATT_F13_NCBDDD_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F12_DNPAO_LOS.pdf	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F11_DRH_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_F10_DCPC_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_F9_DASH_LOS.pdf	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F8_DSTDP_LOS.pdf	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F7_DHAP_LOS.pdf	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_F6_OPRE_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_F5_CB_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_F4_NICHD_LOS.pdf	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F3_OPA_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F2_HP2020_NSFGobject040918.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_F1_NCHS_PAO_LOS.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_E2_2011-2015_Pub.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_E1_2006-2010_Pub.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_D_IncentiveUse2011 040918.doc	Supplementary Document	Uploaded 2018-04-23	Available
ATT_C_2017_ACASI_Justification.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_B1_0920-0314 60-day FRN 122617.pdf	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_A11_DSTDP_AuthLegis.pdf	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A10_DNPAO_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_A9_DASH_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A8_NCBDD_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A7_DCPC_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
ATT_A6_OPRE_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A5_PHS301_multAuthLegis.doc	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A4_CB_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A3_NICHD_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A2_OPA_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Available
ATT_A1_NCHS_AuthLegis.docx	Supplementary Document	Uploaded 2018-04-23	Repair queued
OMB_SS_B_041118.docx	Supporting Statement B	Uploaded 2018-04-23	Repair queued
OMB_SS_A_highlightedrev 060418.docx	Supporting Statement A	Uploaded 2018-06-08	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
216270	Main Interview Verification	Form	Modified
216268	Screener Verification	Form	Modified
216266	Male Questionnaire	Form and Instruction	Modified
216265	Female Questionnaire	Form and Instruction	Modified
216263	Household Screener Instrument	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0314	ICR Reference No: 201804-0920-011
Status: Active	Previous ICR Reference No: 201707-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0314
Title: National Survey of Family Growth
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/14/2018
	Date Received in OIRA: 05/14/2018
Terms of Clearance: NCHS will submit the results of its split sample comparison of alternative forms of the sexual orientation question to OMB as a nonsubstantive change in late summer 2018 (once population weights have been applied to the full two years of data). Based on the results of that testing, NCHS will make a decision regarding continuing the need to continue this work past September of 2018.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	22,000	0	22,110
Time Burden (Hours)	6,759	0	7,318
Cost Burden (Dollars)	178,221	0	0

---

Abstract: The National Survey of Family Growth (NSFG) provides nationally representative and scientifically credible data on factors related to birth and pregnancy rates, family formation and dissolution patterns, and reproductive health for use by various Department of Health and Human Services Programs, as well as for research. This revision requests testing small methodological changes to try to maintain participation. Burden is decreased by revising the response time estimate for women and the number of respondents.

---

Authorizing Statute(s): US Code: 42 USC 306 Name of Law: Public Health Service Act 242k
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 61000	12/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 22071	05/11/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Household Screener Instrument	none	Household Screener
Screener Verification	none	Screener Verification
Female Questionnaire	none	Female CAPI-lite Questionnaire
Male Questionnaire	none	Male CAPI-lite Questionnaire
Main Interview Verification	none	Main Interview Verification

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,000	22,110	0	-110	0	0
Annual Time Burden (Hours)	6,759	7,318	0	-559	0	0
Annual Cost Burden (Dollars)	178,221	0	0	178,221	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden is decreased due to a decrease in the number of respondents due to adjustments based on observed eligibility rates and the response time estimate for women.

---

Annual Cost to Federal Government: $7,100,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/14/2018

---