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[2022] Address-based Sampling Pilot for BRFSS 0920-1291-22IM
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,500 0
   
Individuals or Households
 
   67 %

  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) 2,250 0 2,250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ABS Pilot: Project Description and Justification 08/25/2022
Recruitment Materials for Respondents 08/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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