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Federal forms, ICRs, and supporting documents

Information Collection

Household Screener Instrument

IC 216263 under ICR 202507-0920-018 · OMB 0920-0314.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Household Screener Instrument
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0314 NATIONAL SURVEY OF FAMILY GROWTH, YEAR 3 (2024) HOUSEHOLD SCREENER INSTRUMENT in CAPI-LITE FORMAT ATT-H-NSFG-Y3-2024-screener-capilite.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

15,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,000 0 0 0 0 15,000
Annual IC Time Burden (Hours) 1,250 0 0 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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