National Survey of Family Growth, Cycle 7

Forms and Documents

Document Name	Status
Form 3 Household Screener Form and Instruction	New
Form 4 Verification form Form and Instruction	New
Form 2 National Survey of Family Growth--Male Interview Form and Instruction	New
NSFG 2009 Sup St.-PartB 010909.doc Supporting Statement B	2009-03-30
NSFG 2009 ATTACH M-Nonresponse.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH L-FINAL IRB.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH K-Contract.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH F1-5-Consultation.doc Supplementary Document	2009-03-31
NSFG 2009 Attach E9-DSTD.pdf Supplementary Document	2009-03-31
NSFG 2009 Attach E8-DRH.pdf Supplementary Document	2009-03-31
NSFG Attach-E7-DHAP.pdf Supplementary Document	2009-03-31
NSFG 2009 Attach E1-6.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH D2-Pubs-topic.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH D1-PubsbyDate.doc Supplementary Document	2009-03-31
NSFG 2009 ATTACH C-Expt.doc Supplementary Document	2009-03-31
Attach A1-6.doc Supplementary Document	2009-03-31
NSFG 2009 G2b-Confidentiality.pdf Supplementary Document	2009-03-31
NSFG 2009 G2a -QA Brochure.pdf Supplementary Document	2009-03-31
NSFG 2009 ATT G3-ConsentForms.doc Supplementary Document	2009-03-31
NSFG 2009 ATT G1-AdvanceLetters.doc Supplementary Document	2009-03-31
NSFG 2009 ATT G3-ConsentForms.doc Supplementary Document	2009-03-30
NSFG 2009 G2c-Ltr of Authorization.doc Supplementary Document	2009-03-30
NSFG 2009 G2b-Confidentiality.pdf Supplementary Document	2009-03-30
NSFG 2009 G2a -QA Brochure.pdf Supplementary Document	2009-03-30
NSFG 2009 ATT G1-AdvanceLetters.doc Supplementary Document	2009-03-30
Attach B2-Male-Jan09.doc Supplementary Document	2009-03-30
Attach B1-Female-Jan09.doc Supplementary Document	2009-03-30
NSFG 2009-SupSt-PartA022309.doc Supporting Statement A	2009-03-30

IC Document Collections

IC ID	Document Title	Status
188705	Household Screener Form and Instruction	New
188704	Male and Female Testing New Questions Instruction	New
188703	Verification form Form and Instruction	New
188702	National Survey of Family Growth--Male Interview Form and Instruction	New
184020	Female Interview Questionnaire Other-Computer assisted Interview	Modified

ICR Details

OMB Control No: 0920-0314	ICR Reference No: 200904-0920-005
Status: Historical Active	Previous ICR Reference No: 200803-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Survey of Family Growth, Cycle 7
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/2009
	Date Received in OIRA: 04/06/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	05/31/2009
Responses	20,650	0	14,973
Time Burden (Hours)	7,442	0	6,183
Cost Burden (Dollars)	0	0	0

---

Abstract: The National Survey of Family Growth NSFG) is a nationally-representative sample survey conducted by personal interview among a sample of approximately 5,000 men and women annually. Data will be collected on pregnancy, contraception, parenting, and related attitudes. The information is used by NCHS, the NICHD, the Office of Population Affairs, OASPE, the Children's Bureau, the CDC HIV Prevention Program, and the CDC Division of Reproductive Health.

---

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

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 61425	10/16/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 10251	03/10/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Female Interview Questionnaire	1	National Survey of Family Growth Female Questionnaire in Capi-Lite Format
National Survey of Family Growth--Male Interview	2	National Survey of Family Growth Male Questionnaire in Capi-Lite Format
Verification form	4	Screening Verification Questionnaire
Male and Female Testing New Questions
Household Screener	3	Household Screening Questionnaire

---

ICR Summary 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	20,650	14,973	0	5,677	0	0
Annual Time Burden (Hours)	7,442	6,183	0	1,259	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The increase in burden is due to the fact that the last clearance included a pretest, but this clearance is a full survey collection which is a larger number of respondents.

---

Annual Cost to Federal Government: $4,300,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 04/06/2009

---