National Survey of Family Growth

Forms and Documents

Document Name	Status
Main Interview Verification Form	Modified
Screener Verification Form	Modified
Male Questionnaire Form and Instruction	Modified
Female Questionnaire Form and Instruction	Modified
Household Screener Instrument Form and Instruction	Modified
ATT_P_SplitStudyPrelimResults.docx Supplementary Document	2018-04-25
ATT_O_2017NonresponseBias_10Jan2018.docx Supplementary Document	2018-04-25
ATT_N_2017ERBContApproval.pdf Supplementary Document	2018-04-25
ATT_M-InterviewObsForm.doc Supplementary Document	2018-04-25
ATT_H7_2017_NSFG__Interviewer_Authorization_Letter.doc Supplementary Document	2018-04-25
ATT_H6_2017_NSFG_FamilyFactSheet_English.pdf Supplementary Document	2018-04-25
ATT_H5_2017_NSFG_Conf_Broch_Eng.pdf Supplementary Document	2018-04-25
ATT_H4_2017_NSFG_Q&ABrochureEng.pdf Supplementary Document	2018-04-25
ATT_H3_2017_NSFG_ConsentAssentForms.docx Supplementary Document	2018-04-25
ATT_H2_2017_NSFG_AdvResp_Letters.docx Supplementary Document	2018-04-25
ATT_H1_2017_NSFG_AdvHH_Letters.docx Supplementary Document	2018-04-25
ATT_G2_2014_NSFG_AdvWrkshp.pdf Supplementary Document	2018-04-25
ATT_G1_2013_NSFG_AdvWrkshp.docx Supplementary Document	2018-04-25
ATT_F13_NCBDDD_LOS.docx Supplementary Document	2018-04-23
ATT_F12_DNPAO_LOS.pdf Supplementary Document	2018-04-23
ATT_F11_DRH_LOS.docx Supplementary Document	2018-04-23
ATT_F10_DCPC_LOS.docx Supplementary Document	2018-04-23
ATT_F9_DASH_LOS.pdf Supplementary Document	2018-04-23
ATT_F8_DSTDP_LOS.pdf Supplementary Document	2018-04-23
ATT_F7_DHAP_LOS.pdf Supplementary Document	2018-04-23
ATT_F6_OPRE_LOS.docx Supplementary Document	2018-04-23
ATT_F5_CB_LOS.docx Supplementary Document	2018-04-23
ATT_F4_NICHD_LOS.pdf Supplementary Document	2018-04-23
ATT_F3_OPA_LOS.docx Supplementary Document	2018-04-23
ATT_F2_HP2020_NSFGobject040918.docx Supplementary Document	2018-04-23
ATT_F1_NCHS_PAO_LOS.docx Supplementary Document	2018-04-23
ATT_E2_2011-2015_Pub.docx Supplementary Document	2018-04-23
ATT_E1_2006-2010_Pub.docx Supplementary Document	2018-04-23
ATT_D_IncentiveUse2011 040918.doc Supplementary Document	2018-04-23
ATT_C_2017_ACASI_Justification.docx Supplementary Document	2018-04-23
ATT_B1_0920-0314 60-day FRN 122617.pdf Supplementary Document	2018-04-23
ATT_A11_DSTDP_AuthLegis.pdf Supplementary Document	2018-04-23
ATT_A10_DNPAO_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A9_DASH_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A8_NCBDD_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A7_DCPC_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A6_OPRE_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A5_PHS301_multAuthLegis.doc Supplementary Document	2018-04-23
ATT_A4_CB_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A3_NICHD_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A2_OPA_AuthLegis.docx Supplementary Document	2018-04-23
ATT_A1_NCHS_AuthLegis.docx Supplementary Document	2018-04-23
OMB_SS_B_041118.docx Supporting Statement B	2018-04-23
OMB_SS_A_highlightedrev 060418.docx Supporting Statement A	2018-06-08

IC Document Collections

IC ID	Document Title	Status
216270	Main Interview Verification Form	Modified
216268	Screener Verification Form	Modified
216266	Male Questionnaire Form and Instruction	Modified
216265	Female Questionnaire Form and Instruction	Modified
216263	Household Screener Instrument Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0314	ICR Reference No: 201804-0920-011
Status: Active	Previous ICR Reference No: 201707-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0314
Title: National Survey of Family Growth
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: 06/14/2018
	Date Received in OIRA: 05/14/2018
Terms of Clearance: NCHS will submit the results of its split sample comparison of alternative forms of the sexual orientation question to OMB as a nonsubstantive change in late summer 2018 (once population weights have been applied to the full two years of data). Based on the results of that testing, NCHS will make a decision regarding continuing the need to continue this work past September of 2018.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	22,000	0	22,110
Time Burden (Hours)	6,759	0	7,318
Cost Burden (Dollars)	178,221	0	0

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Abstract: The National Survey of Family Growth (NSFG) provides nationally representative and scientifically credible data on factors related to birth and pregnancy rates, family formation and dissolution patterns, and reproductive health for use by various Department of Health and Human Services Programs, as well as for research. This revision requests testing small methodological changes to try to maintain participation. Burden is decreased by revising the response time estimate for women and the number of respondents.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 61000	12/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 22071	05/11/2018
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Household Screener Instrument	none	Household Screener
Screener Verification	none	Screener Verification
Female Questionnaire	none	Female CAPI-lite Questionnaire
Male Questionnaire	none	Male CAPI-lite Questionnaire
Main Interview Verification	none	Main Interview Verification

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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	22,000	22,110	0	-110	0	0
Annual Time Burden (Hours)	6,759	7,318	0	-559	0	0
Annual Cost Burden (Dollars)	178,221	0	0	178,221	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden is decreased due to a decrease in the number of respondents due to adjustments based on observed eligibility rates and the response time estimate for women.

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Annual Cost to Federal Government: $7,100,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 05/14/2018

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