Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2021 Field Test - Survey Modified 500 13333 0 Form and Instruction 0920-1061 2021 BRFFS Questionnaire
BRFSS Core Survey Modified 480000 120000 0 Form and Instruction 0920-1061 2021BRFSS Att 3 Core Questionnaire Sections by Year
BRFSS Core Survey by Online Survey New 100000 16666 0 Form and Instruction 0920-1061 BRFFS Core Online Survey
BRFSS Optional Modules Modified 440000 110000 0 Form and Instruction 0920-1061 Attachment 4 Optional Modules by Topic 6-30
BRFSS Optional Modules by Online Survey New 80000 13333 0 Form and Instruction 0920-1061 BRFSS Optional Modules by Online Survey
Cell Phone Screener Modified 694000 11567 0 Form and Instruction 0920-1061 Phone Screening Scripts and Subject Recruitment
Field Test - Screener Modified 900 15 0 Form and Instruction 0920-1061 Field Test Screener
Landline Screener Modified 173000 2884 0 Form and Instruction 0920-1061 BRFSS Landline Screen Script
Total burden requested under this ICR: 1968400 287798 0  
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