Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2017 Field Test of Proposed Changes - Screener Only New 240 4 0 Form and Instruction NA 2017 Field Test Screener Only - U.S. General Population
2017 Field Test of Proposed Changes - Screener and Questionnaire New 300 130 0 Form and Instruction NA 2017 Field Test Screener - Respondents (Adults >18 Years)
Form and Instruction NA 2017 Field Test of Proposed Changes to the 2018 Behavioral Risk Factor Surveillance System (BRFSS) (Adults > 18 Years)
BRFSS Core Survey Unchanged 494650 123663 0 Form and Instruction Attachment 5a-2017 2017 BRFSS Core Survey Questionnaire
BRFSS Optional Modules Unchanged 484757 121189 0 Form Attachment 4b-2017 2017 Approved Questions by Optional Module
Cell Phone Screener Unchanged 223334 3722 0 Form and Instruction none Cellphone Screener
Landline Screener Unchanged 440486 7341 0 Form and Instruction none Landline Screener
Total burden requested under this ICR: 1643767 256049 0  
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