ICR Documents

Supporting Statement A Document Date Uploaded 2021BRFSS SSA (003).docx 10/07/2021 Supporting Statement B Document Date Uploaded 2021BRFSS SSB.docx 10/06/2021 Supplementary Documents Title Document Document Type Date Uploaded Protocol for 2020 with changes Attachment 10a 2020 BRFSS Data Collection Protocol and Dispositions.docx Supplementary Document 08/05/2019 Protocol for 2021 Attachment 10a 2021 BRFSS Data Collection Protocol.docx Supplementary Document 11/02/2020 Attachment 13 2021 BRFSS Field test questionniare Attachment 13 2021 BRFSS Field test questionniare.docx Supplementary Document 06/21/2021 Attachment 13c Screener for the 2021 Field Test Attachment 13c Screener for the 2021 Field Test.docx Supplementary Document 06/21/2021 Attachment 13d List of Changes in 2021 Field Test Questionnaire Attachment 13d List of Changes in 2021 Field Test Questionnaire.docx Supplementary Document 06/21/2021 2021BRFSS Att 2 BRFSS Awardees Lis 2021BRFSS Att 2 BRFSS Awardees Lis.docx Supplementary Document 10/06/2021 2021BRFSS Att 1 Auth Legis 2021BRFSS Att 1 Auth Legis.pdf Supplementary Document 10/06/2021 2021BRFSS Att 3 Core Questionnaire Sections by Year 2021BRFSS Att 3 Core Questionnaire Sections by Year.docx Supplementary Document 10/06/2021 2021BRFSS Att 5 Screening Scripts and Subject Recruitment 2021BRFSS Att 5 Screening Scripts and Subject Recruitment.docx Supplementary Document 10/06/2021 2021BRFSS Att 7 BRFSS 2019 Weighting and Comparability Tech Doc 2021BRFSS Att 7 BRFSS 2019 Weighting and Comparability Tech Doc.docx Supplementary Document 10/06/2021 2021BRFSS Att 8 State Adult Pop & BRFSS Sample Size 2019 2021BRFSS Att 8 State Adult Pop & BRFSS Sample Size 2019.docx Supplementary Document 10/06/2021 2021BRFSS Att 9 BRFSS 2019 Summ Data Qual Rpt w Response Rates 2021BRFSS Att 9 BRFSS 2019 Summ Data Qual Rpt w Response Rates.pdf Supplementary Document 10/06/2021 2021BRFSS Att 10 2021 BRFSS Data Coll protocol 2021BRFSS Att 10 2021 BRFSS Data Coll protocol.docx Supplementary Document 10/06/2021 2021BRFSS Att 11 Methods for BFRSS Question Adoption and Mod 2021BRFSS Att 11 Methods for BFRSS Question Adoption and Mod.docx Supplementary Document 10/06/2021 2021BRFSS Att 14 BRFSS Crisis Protocol for Sensitive Questions 2021BRFSS Att 14 BRFSS Crisis Protocol for Sensitive Questions.docx Supplementary Document 10/06/2021 2021BRFSS Att 15 BRFSS Modules by State & Split Samples 2021BRFSS Att 15 BRFSS Modules by State & Split Samples.docx Supplementary Document 10/06/2021 2021BRFSS Att 16 Rpt on the BRFSS Core Questionnaire Redesign 2021BRFSS Att 16 Rpt on the BRFSS Core Questionnaire Redesign.docx Supplementary Document 10/06/2021 Attachment 13d List of Changes in 2022 Field Test Questionnaire Attachment 13d List of Changes in 2022 Field Test Questionnaire.docx Supplementary Document 09/01/2022 2022 Field Test Change Request 2022 Field Test Change Request Form_FINAL_20220831.docx Supplementary Document 09/01/2022 2023 BRFSS Data Collection Protocol 2023 BRFSS Data Collection protocol 20221118.docx Supplementary Document 12/15/2022 2023 BRFSS Questionnaire (compiled from Core and Modules) 2023 Questionnaire 20221121_OMB.docx Supplementary Document 12/15/2022 Response to prior terms of clearance and future testing Response to Terms of Clearance about Testing of Changes in 2023 BRFSS Questionnaire.docx Supplementary Document 01/03/2023 Change Request Justification - 2017 Field Test of Proposed Changes Change Request for 2017 Field test_04112017.docx Justification for No Material/Nonsubstantive Change 04/14/2017 Change Request Justification - 2018 Field Test 2018 Field test change request 10MAY2018.docx Justification for No Material/Nonsubstantive Change 05/10/2018 2019 Change Request 082719 2019 Change request revised per OMB.docx Justification for No Material/Nonsubstantive Change 08/27/2018 Change Request 2019 Field Test 2019 field test change request final.docx Justification for No Material/Nonsubstantive Change 05/09/2019 Change request for 2020 -Aug 2019 2020 change request July 31 2019.docx Justification for No Material/Nonsubstantive Change 08/05/2019 Change request for 2021 - Nov 2020 2021 BRFSS Change Request rev 10-21 cp.docx Justification for No Material/Nonsubstantive Change 11/02/2020 Proposed Changes to the 2022 Behavioral Risk Factor Surveillance System (BRFSS) 2021 field test change request.docx Justification for No Material/Nonsubstantive Change 06/21/2021 Summary and Justification of Proposed Changes for the 2023 BRFSS 2023 BRFSS Change Request 20221207.docx Justification for No Material/Nonsubstantive Change 12/15/2022 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received