View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

BRFSS Feasibility Experiment for State-specific Module Data Collection in Cell Phone Samples 0920-1154-19ACG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,500 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,500 0 4,500 0 0 0
Annual IC Time Burden (Hours) 1,500 0 1,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Data Collection Guide 03/18/2019
Recruitment Texts 03/18/2019
Invitation Scripts 03/18/2019
SSA 03/18/2019
SSB 03/18/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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