Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018 Field Test - Screener Unchanged 540 9 0 Form and Instruction 0920-1061 Screener for 2018 BRFSS Field Test
2018 Field Test - Survey Unchanged 300 125 0 Form and Instruction 0920-1061 2018 BRFSS Field Test Questionnaire
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
Form and Instruction 0920-1061 2019 BRFSS Questionnaire
BRFSS Optional Modules Modified 440000 110000 0 Form and Instruction 0920-1061 2018 Approved Questions by Optional Module
Form and Instruction 0920-1061 2019 Approved Quesions by Optional Module
Cell Phone Screener Unchanged 292682 4878 0 Form and Instruction 0920-1061 BRFSS Cell Phone Screen Script
Landline Screener Unchanged 375000 6250 0 Form and Instruction 0920-1061 BRFSS Landline Screen Script
Total burden requested under this ICR: 1588522 241262 0  
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