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 of Proposed Changes - Screener and Questionnaire Removed 0 0 0 Form and Instruction NA
Form and Instruction NA
2018 Field Test - Screener New 900 15 0 Form and Instruction 0920-1061
2018 Field Test - Survey New 500 375 0 Form and Instruction 0920-1061
BRFSS Core Survey Modified 480000 120000 0 Form and Instruction 0920-1061
Form and Instruction 0920-1061
BRFSS Optional Modules Modified 440000 110000 0 Form and Instruction 0920-1061
Cell Phone Screener Modified 292682 4878 0 Form and Instruction 0920-1061
Landline Screener Modified 375000 6250 0 Form and Instruction 0920-1061
Total burden requested under this ICR: 1589082 241518 0  
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