Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2016 Field Test of Proposed Changes to 2017 BRFSS New 540 135 0 Other-WORD
Other-WORD
BRFSS Core Survey Unchanged 494650 123663 0 Form none BRFSS Core Survey
BRFSS Optional Modules Unchanged 484757 121189 0 Form none BRFSS Optional Modules
Form none BRFSS Sample Questionnaire
Cell Phone Screener Unchanged 223334 3722 0 Form and Instruction none Cellphone Screener
Field Test Screener Modified 540 134 0 Form and Instruction none Field Test Screener
Other-WORD
Field Test Survey Unchanged 500 375 0 Form and Instruction none Field Test Survey
Landline Screener Unchanged 440486 7341 0 Form and Instruction none Landline Screener
Total burden requested under this ICR: 1644807 256559 0  
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