Welcome to Women's Preventive Health Services Survey

Women's Preventive Health Services Survey

OMB #: 0920-1200
Exp. Date: 10/31/2020

Thank your interest in the Women's Preventive Health Services Survey sponsored by the Centers for Disease Control and Prevention (CDC). The information you provide help guide CDC's future efforts on how public health can help make sure women are able to receive appropriate preventive health services, including cancer screenings.

Participation in the study is voluntary. You may choose not to answer any questions that you do not wish to answer. You can end your participation at any time. All information collected for this study will be kept confidential. If you are eligible to participate in the study, you will receive $15 after completion of the study survey.

Please enter your unique Personal Identification Number (PIN) in the field below and click "Submit Survey PIN" button below:

Public reporting burden of this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-16AWP).

This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. This system is provided for Government-authorized use only. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. Therefore, you have no reasonable expectation of privacy. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose.

For Technical Assistance, please contact NORC at WPHSS@norc.org.