Information Collection List

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