Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Female Questionnaire Modified 2750 3438 0 Form and Instruction 0920-0314
Household Screener Instrument Modified 15000 1250 0 Form and Instruction 0920-0314
Interviews Observation Form (Screener Verification) Modified 250 8 0 Form and Instruction 0920-0314
Main Interview Verification Modified 150 13 0 Instruction
Male Questionnaire Modified 2250 1875 0 Form and Instruction 0920-0314
Phase 4 Nonresponse Follow-up Questions Removed 0 0 0 Form and Instruction n/a
Respondent Debriefing Questions about Calendar Removed 0 0 0 Form and Instruction n/a
Total burden requested under this ICR: 20400 6584 0  
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