[NCHS] National Survey of Family Growth

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Draft Phase 4 Nonresponse Followup Mailed Questionnaires	Form and Instruction	Modified	Available
Phase 4 Nonresponse Follow-up Questions	Form and Instruction	Modified	Repair queued
Life History Calendar Debriefing in Capilite Format (year 1 - 2022)	Form and Instruction	Modified	Available
Respondent Debriefing Questions about Calendar	Form and Instruction	Modified	Repair queued
Male Questionnaire in Capilite Format (year 1 - 2022)	Form and Instruction	Modified	Available
Male Questionnaire	Form and Instruction	Modified	Repair queued
Female Questionnaire in Capilite Format (year 1 2022)	Form and Instruction	Modified	Available
Female Questionnaire	Form and Instruction	Modified	Repair queued
NSFG Household Screener Instrument in Capilite Format	Form and Instruction	Modified	Available
Household Screener Instrument	Form and Instruction	Modified	Repair queued
0920-0314-NSFG-NonSubChange_IncentiveExperimentContinuation_3Nov2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-11-04	Repair queued
0920-0314-NSFG-NonSubChange-Attach3-ReminderLetterWithoutPaperScreener.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
0920-0314-NSFG-NonSubChange-Attach1-PaperScreenerForm.pdf	Supplementary Document	Uploaded 2022-05-25	Repair queued
0920-0314-NSFG-NonSubChange-Attach2-ReminderLetterWithPaperScreener.docx	Supplementary Document	Uploaded 2022-05-25	Repair queued
0920-0314-NSFG-Covid-relatedModifications-NonSubChange_24May2022_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-05-25	Repair queued
0920-0314-NSFG-NonSubChange-Attach3-ReminderLetterWithoutPaperScreener.docx	Supplementary Document	Uploaded 2022-03-22	Repair queued
0920-0314-NSFG-NonSubChange-Attach2-ReminderLetterWithPaperScreener.docx	Supplementary Document	Uploaded 2022-03-22	Repair queued
0920-0314-NSFG-NonSubChange-Attach1-PaperScreenerForm.docx	Supplementary Document	Uploaded 2022-03-22	Repair queued
ATT-B3-American Atheists Letter_Dec_1_2021.pdf	Supplementary Document	Uploaded 2021-12-02	Repair queued
ATT-B2-60dayFRNcomments_all.pdf	Supplementary Document	Uploaded 2021-12-02	Repair queued
ATT-N2-NSFG-Phase4NRFUletters-2021.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-N1-NonresponseBiasAnalysisPlan-Apr21.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-M-ERBdetermination_081121sig.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-L-InterviewObsForm_revJun2021.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-J1-NSFG-MaleQuexChangeSummary-Oct28_2021.docx	Supplementary Document	Uploaded 2021-11-29	Repair queued
ATT-I1-NSFG-FemQuexChangeSummary-Oct28_2021.docx	Supplementary Document	Uploaded 2021-11-29	Repair queued
ATT-G9-NSFG-EmailTextScripts-English.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G8-NSFG-WebIncentiveChoiceText.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G7-NSFG-InterviewerAuthorizationLetter-English.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G6-NSFG-FamilyFactSheet-English.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G5-ConfidentialityBrochure-English.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G4_QandABrochure_English.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G3-NSFG-ConsentAssentForms-2021.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G2-NSFG-AdvanceRESPONDENTletter-2021-English.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-G1-NSFG-AdvanceHOUSEHOLDletter-2021-English.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-F2-2019-RFI-NSFG.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-F1-2018-NSFG_EWG.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E13_DASH_2021LetterofSupport.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E12_DRH_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E11_DCPC_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E10_DVP_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E9_DSTDP_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E8_DHP_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E7_OWH_2021LetterofSupport_30day.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E6_OPRE_2021LetterofSupport_30day.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E5_CB_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E4_NICHD_2021LetterofSupport.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E3_OPA_2021LetterofSupport.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E2_HP2030_NSFGObjectives.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-E1_NCHS_PublicAffairsOffice.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-D4-NSFG_ORIENT50-50study_Apr21.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-D3-NSFG_Phase2BoundaryMemo.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-D2-NSFG_MailedScreenerExperiment.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-D1-NSFG_IncentiveUseBackground.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-C-NSFG-SensitiveQuestionJustification-Oct28_2021_clean.docx	Supplementary Document	Uploaded 2021-11-29	Repair queued
ATT-B1_NSFG_60dayFRN.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A11_DASH_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A10_NCIPC_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A9_DSTDP_2021AuthLegis.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A8_OWH_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A7_DCPC_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A6_OPRE_2021AuthLegis_30day.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A5_PHS301_2021MultAuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A4_CB_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A3_NICHD_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A2_OMB_2021AuthLegis.pdf	Supplementary Document	Uploaded 2021-09-16	Repair queued
ATT-A1_NCHS_2021AuthLegis.docx	Supplementary Document	Uploaded 2021-09-16	Repair queued
OMB_NSFG_SS_B_Dec_2_2021_Final.docx	Supporting Statement B	Uploaded 2021-12-02	Repair queued
OMB_NSFG_SS_A_Dec_2_2021_Final.docx	Supporting Statement A	Uploaded 2021-12-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249210	Phase 4 Nonresponse Follow-up Questions	Form and Instruction	Modified	Draft Phase 4 Nonresponse Followup Mailed Questionnaires
249210	Phase 4 Nonresponse Follow-up Questions	Form and Instruction	Modified
249209	Respondent Debriefing Questions about Calendar	Form and Instruction	Modified	Life History Calendar Debriefing in Capilite Format (year 1 - 2022)
249209	Respondent Debriefing Questions about Calendar	Form and Instruction	Modified
216270	Main Interview Verification	Instruction	Modified
216268	Screener Verification	Instruction	Modified
216266	Male Questionnaire	Form and Instruction	Modified	Male Questionnaire in Capilite Format (year 1 - 2022)
216266	Male Questionnaire	Form and Instruction	Modified
216265	Female Questionnaire	Form and Instruction	Modified	Female Questionnaire in Capilite Format (year 1 2022)
216265	Female Questionnaire	Form and Instruction	Modified
216263	Household Screener Instrument	Form and Instruction	Modified	NSFG Household Screener Instrument in Capilite Format
216263	Household Screener Instrument	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0314	ICR Reference No: 202211-0920-003
Status: Historical Active	Previous ICR Reference No: 202203-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0314-23AT
Title: [NCHS] National Survey of Family Growth
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/13/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/10/2022
Terms of Clearance: proved consistent with the understanding that a) NCHS will share the results of the experiments with OMB for discussion before submitting a revision to ROCIS and b) pending the results of those discussions, a revision (new 60/30 FRN) would be required to implement the changes for 2023.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2024	12/31/2024	12/31/2024
Responses	21,050	0	21,050
Time Burden (Hours)	6,122	0	6,122
Cost Burden (Dollars)	0	0	183,404

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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 request is for a non-substantive change to delivery methods. This Non-Substantive Change Request is submitted to allow continuation of the incentive experiment in 2023. There is no impact on the estimated burden hours already approved.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 30937	06/10/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51896	09/17/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Female Questionnaire	n/a	Female Questionnaire in Capilite Format (year 1 2022)
Household Screener Instrument	n/a	NSFG Household Screener Instrument in Capilite Format
Main Interview Verification
Male Questionnaire	n/a	Male Questionnaire in Capilite Format (year 1 - 2022)
Phase 4 Nonresponse Follow-up Questions	n/a	Draft Phase 4 Nonresponse Followup Mailed Questionnaires
Respondent Debriefing Questions about Calendar	n/a	Life History Calendar Debriefing in Capilite Format (year 1 - 2022)
Screener Verification

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ICR Summary of Burden

table that charts list 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	21,050	21,050	0	0	0	0
Annual Time Burden (Hours)	6,122	6,122	0	0	0	0
Annual Cost Burden (Dollars)	0	183,404	0	-183,404	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $3,189,617

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? No

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Common Form ICR:  No

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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: 11/10/2022

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