Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018 Field Test - Screener Modified 540 9 0 Form and Instruction 0920-1061
2018 Field Test - Survey Modified 300 125 0 Form and Instruction 0920-1061
BRFSS Core Survey Unchanged 480000 120000 0 Form and Instruction 0920-1061
Form and Instruction 0920-1061
BRFSS Optional Modules Unchanged 440000 110000 0 Form and Instruction 0920-1061
Cell Phone Screener Unchanged 292682 4878 0 Form and Instruction 0920-1061
Landline Screener Unchanged 375000 6250 0 Form and Instruction 0920-1061
Total burden requested under this ICR: 1588522 241262 0  
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