Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
BRFSS Core Survey by Online Survey New 100000 16666 0 Form and Instruction n/a BRFSS Online Survey Instrument
BRFSS Optional Modules by Online Survey New 80000 13333 0 Form and Instruction n/a BRFSS Online Optional Modules Survey Instrument
BRFSS Questionnaire (CORE SURVEY) Modified 480000 120000 0 Form and Instruction 0920-1061 BRFSS Questionnaire (CORE SURVEY - Sections by Year)
BRFSS Questionnaire - (OPTIONAL MODULES) Modified 440000 110000 0 Form and Instruction 0920-1061 BRFSS Questionnaire (OPTIONAL MODULES)
Cell Phone Screener Modified 694000 11567 0 Form and Instruction 0920-1061 BRFSS Questionnaire (Cell Phone Screener)
Field Test - Screener Modified 900 15 0 Form and Instruction 0920-1061 BRFSS Questionnaire (Field Test)
Field Test Questionnaire Modified 500 167 0 Form and Instruction 0920-1061 2022 Field Test Questionnaire
Landline Screener Modified 173000 2884 0 Form and Instruction 0920-1061 2024 BRFSS Questionnaire (Landline Screener)
Total burden requested under this ICR: 1968400 274632 0  
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