OMB control number

Fertility Knowledge Survey

OMB 0937-0208 · HHS/OASH.

OMB 0937-0208

The Office of the Assistant Secretary for Health/Office of Population Affairs (OPA) is seeking approval from the Office of Management and Budget on a new information collection. OPA seeks to collect information through the Fertility Knowledge Survey that will increase OPA’s understanding of fertility knowledge among young men and women and the relationships between fertility knowledge and demographic and other related factors (e.g., childbearing preferences, plans, attitudes and behaviors). OPA intends to use this information to identify those individuals in the study sample who could benefit from improved or increased fertility-related education, information, counseling, and services. The survey will be administered via the internet to a non-probability sample of English-speaking women and men in the United States (U.S.) who are aged 18–29 years and able to get pregnant or father a child.

The latest form for Fertility Knowledge Survey expires 2022-10-31 and is listed under ICR 201903-0937-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 Fertility Knowledge Survey	Form
Attach_F_OMB_Consent_Adult_Revised_May2019_R_Aug2019_Clean.pdf	Supplementary Document
Attach_E_OMB_Invitation_AdultKP&AllYP_May2019_R_Aug2019_Clean.pdf	Supplementary Document
Attach_B_FertilityKnowledgeSurvey_Version20_8-13-19_PRA_Final_Clean.pdf	Supplementary Document
Attach_K_CoC_All_May2019_R_Aug2019.pdf	Supplementary Document
Attach_J_OMB_IpsosPrivacyCommitment_May2019__Aug2019.pdf	Supplementary Document
Attach_H_OMB_BillofRights_TheDeal_May2019_R_Aug2019.pdf	Supplementary Document
Attach_I_OMB_Minor Assent_Revised_May2019.pdf	Supplementary Document
Attach_H_OMB_Parent Permission_KPMinors_Revised_May2019.pdf	Supplementary Document
Attach_F_OMB_Consent_Adult_Revised_May2019_R_Aug2019_Clean.pdf	Supplementary Document
Attach_D_IRB_All_Sep2019.pdf	Supplementary Document
Attach_C_OMB_FRN_60D&30D_All.pdf	Supplementary Document
Attach_B_FertilityKnowledgeSurvey_Version20_8-13-19_PRA_Final_Clean.pdf	Supplementary Document
30-dayFRN 0937-Fertility Knowledge Study.pdf	Supplementary Document
SSB_FertilityKnowledgeSurvey_9-6-19_OMB_Clean_9-23-19.docx	Supporting Statement B
SSA_FertilityKnowledgeSurvey_9-6-19_OMB_Clean_9-23-19.docx	Supporting Statement A
Attach_D_OMB_IRBNotice_2-5-19.pdf	Supplementary Document
Attach_C_OMB_FRN_60D_2-5-19.pdf	Supplementary Document
Attach_A_TitleXLeg_2-5-19.pdf	Supplementary Document
Fertility Knowledge Survey	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201903-0937-003	New collection (Request for a new OMB Control Number)	2019-03-26		Approved with change
201902-0937-001	New collection (Request for a new OMB Control Number)	2019-02-28		Withdrawn