Information Collection

CPS Fertility Supplement

IC 3481 under ICR 202402-0607-005 · OMB 0607-0610.

Documents and Forms

Document Name Document Type
Form CPS Fertility Ques CPS Fertility Supplement Form
CPS Fertility Ques CPS Fertility Questions Attachment A - Fertility Supplement Questionnaire.pdf Form
CPS Fertility Ques CPS Fertility Questions Attachment A - Fertility Supplement Questionnaire.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CPS Fertility Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	CPS Fertility Questions	CPS Fertility Questions	Attachment A - Fertility Supplement Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	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.