Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2018 Field Test - Survey Unchanged 500 375 0 Form and Instruction 0920-1061 BRFSS Field Test Questionnaire Example
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 none 2020 BRFSS questionnaire
BRFSS Optional Modules Unchanged 440000 110000 0 Form and Instruction 0920-1061 2019 Approved Quesions by Optional Module
Cell Phone Screener Unchanged 292682 4879 0 Form and Instruction 0920-1061 BRFSS Cell Phone Screen Script
Field Test - Screener Unchanged 900 15 0 Form and Instruction 0920-1061 Screener for 2018 BRFSS Field Test Example
Landline Screener Unchanged 375000 6250 0 Form and Instruction 0920-1061 BRFSS Landline Screen Script
Total burden requested under this ICR: 1589082 241519 0  
To view an IC, click on IC Title