Information Collection

CPS Fertility Supplement

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.