Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Female Questionnaire Modified 2750 3438 0 Form and Instruction n/a
Household Screener Instrument Modified 13500 675 0 Form and Instruction n/a
Main Interview Verification Modified 500 42 0 Instruction
Male Questionnaire Modified 2250 1875 0 Form and Instruction n/a
Phase 4 Nonresponse Follow-up Questions Modified 375 31 0 Form and Instruction n/a
Respondent Debriefing Questions about Calendar Modified 325 16 0 Form and Instruction n/a
Screener Verification Modified 1350 45 0 Instruction
Total burden requested under this ICR: 21050 6122 0  
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