Information Collection

NSFG Testing

IC 246525 under ICR 201807-0920-004 · OMB 0920-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-21EC Telephone Screener NSFG Testing	Form and Instruction
Form 0920-21EC Virtual Interviews Data collection Sheet NSFG Testing	Form and Instruction
Form 0920-21EC Respondent Debriefing NSFG Testing	Form
Form 1 Test Questions NSFG Testing	Form
0920-21EC Telephone Screener Att3ab-NSFG Comparative Telephone Screener.docx	Form and Instruction
0920-21EC Virtual Interviews Data collection Sheet Att5-NSFG Comparative Resp Data Collect.docx	Form and Instruction
0920-21EC Respondent Debriefing Att7-NSFG Comparative Respondent Debriefing.docx	Form
1 Test Questions NSFG Comparative Study Test Questions for Lab_V4_clean copy.docx	Form
Att2-NSFG Comparative Ad&flyer.docx AD & FLYER	IC Document
Att4-NSFG Comparative Informed Consent.docx Informed Consent	IC Document
Att6-NSFG Comparative Thank You Letter.docx Thank You Letter	IC Document
NSFG Comparative Study_10 day letter OMB 4.21.2021.docx Memo to OMB	IC Document

IC Title:

NSFG Testing

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-21EC	Yes	Yes	Fillable Fileable
Form and Instruction	0920-21EC	Yes	Yes	Fillable Fileable
Form	0920-21EC	Yes	Yes	Fillable Fileable
Form	1	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	95	95
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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