View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0314
ICR Reference No:
201504-0920-006
Status:
Historical Active
Previous ICR Reference No:
201302-0920-002
Agency/Subagency:
HHS/CDC
Agency Tracking No:
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:
05/25/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/24/2015
Terms of Clearance:
NCHS must submit a non-substantive change request to OMB within 18 months years to file the results of the crossover study and describe resulting recommendations.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2018
36 Months From Approved
05/31/2015
Responses
22,110
0
20,400
Time Burden (Hours)
7,318
0
7,192
Cost Burden (Dollars)
0
0
0
Abstract:
The National Survey of Family Growth (NSFG) provides nationally representative data on factors related to birth and pregnancy rates, sexually transmitted diseases, and family formation including marriage, divorce, and adoption for NCHS and other Department of Health and Human Services (DHHS) programs. The survey is administered in person, in English and Spanish. About 5,000 people are interviewed each year. This Revision will; expand the age range of the NSFG from 15-44 to 15-49, and make revisions to the female and male questionnaires (for fieldwork starting in September 2015).
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:
79 FR 65398
11/04/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 22198
04/21/2015
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 --
None, None
Attachment 2: 2011-2015 National Survey of Family GrowthFEMALE Questionnaire(Mark-Up for Year 3 with red highlights)
,
Attachment 2: 2011-2015 National Survey of Family Growth FEMALE Questionnaire (Mark-Up for Year 3)
Household Screener
3
Household Screening Questionnaire
NSFG 2015 Household Screener Instrument
None
NSFG 2015 Household Screener Instrument
NSFG Female Questionnaire
None
2015 NSFG Female Questionnaire
NSFG Main Interview Verification
None
NSFG Verification Questionnaire - Main Interview
NSFG Male Questionnaire
None
2015 NSFG Male Questionnaire
NSFG Screener Verification
None
NSFG Verification Questionnaire - Screener
National Survey of Family Growth--Male Interview
None, None
ATTACHMENT 3:2011-2015 National Survey of Family Growth MALE Questionnaire(Mark-Up for Year 3)
,
ATTACHMENT 3:2011-2015 National Survey of Family Growth MALE Questionnaire (Mark-Up for Year 3 with red highlights)
Verification form
K
National Survey of Family Growth, Verification Questionnaires
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
22,110
20,400
0
1,710
0
0
Annual Time Burden (Hours)
7,318
7,192
0
126
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:
Miscellaneous Actions
Short Statement:
0920-0314 is a REVISION that contains modifications to the Male and Female Interview Questionnaires.
Annual Cost to Federal Government:
$6,200,000
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]?
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
Agency Contact:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
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:
04/24/2015
An official website of the United States government
The .gov means it's official.
The site is secure.
