Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2017 Field Test of Proposed Changes - Screener Only Removed 0 0 0 Form and Instruction NA 2017 Field Test Screener Only - U.S. General Population
2017 Field Test of Proposed Changes - Screener and Questionnaire Removed 0 0 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)
2018 Field Test - Screener New 900 15 0 Form and Instruction 0920-1061 Landline and Cell Phone Screening Script
2018 Field Test - Survey New 500 375 0 Form and Instruction 0920-1061 2017 Field Test of Proposed Change for the 2018 Behavioral Risk Factor Surveillance System (BRFSS)
BRFSS Core Survey Modified 480000 120000 0 Form and Instruction 0920-1061 Even-Numbered Year BRFSS Core Questionnaire
Form and Instruction 0920-1061 Odd-Numbered Year BRFSS Core Questionnaire
BRFSS Optional Modules Modified 440000 110000 0 Form and Instruction 0920-1061 2018 Approved Questions by Optional Module
Cell Phone Screener Modified 292682 4878 0 Form and Instruction 0920-1061 BRFSS Cell Phone Screen Script
Landline Screener Modified 375000 6250 0 Form and Instruction 0920-1061 BRFSS Landline Screen Script
Total burden requested under this ICR: 1589082 241518 0  
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