Information Collection

National Survey of Family Growth--Male Interview

IC 188702 under ICR 201203-0920-009 · OMB 0920-0314.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0314 can be found here:

Documents and Forms

Document Name Document Type
National Survey of Family Growth--Male Interview Form
New questions for 2011-12 NSFG 2011 change pkg Att 2.docx Form
I-1 2011-2015 National Survey of Family Growth Male Question Attach I1--C8-MALE-Feb 2012_Clean.docx Form and Instruction
I-2 2011-2015 National Survey of Family Growth Female Questi Attach I2--C8-MALE-Feb 2012_WithCorrections.docx Form and Instruction
Attach B2-Male-Jan09.doc Justification for the Male Questionnaire IC Document
NSFG 2011 change pkg Att 3.docx Questions deleted for 2011-12 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Family Growth--Male Interview	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	New questions for 2011-12	NSFG 2011 change pkg Att 2.docx	Yes	Yes	Fillable Fileable
Form and Instruction	I-1	2011-2015 National Survey of Family Growth Male Questionnaire (Clean Copy)	Attach I1--C8-MALE-Feb 2012_Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	I-2	2011-2015 National Survey of Family Growth Female Questionnaire (with corrrections)	Attach I2--C8-MALE-Feb 2012_WithCorrections.docx	No	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population	FR Citation: 49 FR 187

Number of Respondents: 2,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,250	2,250
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for the Male Questionnaire	Attach B2-Male-Jan09.doc	03/30/2009
Questions deleted for 2011-12	NSFG 2011 change pkg Att 3.docx	06/22/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.