View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-1061
ICR Reference No:
201501-0920-014
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
14AYC
Title:
Behavioral Risk Factor Surveillance System (BRFSS)
Type of Information Collection:
Existing collection in use without an OMB Control Number
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/30/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/21/2015
Terms of Clearance:
This ICR is approved with the following terms of clearance: (1) OMB requires, at a minimum, an annual non substantive change request for changes in sample size and/or questionnaires at least three months before the planned data collection in the field, allowing OMB sufficient time to suggest changes, if needed, before data collection instruments are finalized. (2) Additional information should be provided in the next submission to explain how CDC is calculating and communicating effective sample sizes, and ensuring calculation of appropriate standard errors. (3) In the next submission, CDC will provide plans for ongoing work in the areas of non-response bias and benchmarking, as well as providing documentation and explanation of what has been done in these areas so far. (4) CDC is strongly encouraged to engage early with OMB on potential changes to the study design (e.g. use of internet panels rather than telephone surveys).
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2018
36 Months From Approved
Responses
1,643,227
0
0
Time Burden (Hours)
255,915
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Behavioral Risk Factor Surveillance System (BRFSS) is a nationwide system of customized, cross-sectional telephone health surveys involving states, territories, and the District of Columbia.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: PHSA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 54983
09/15/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 2428
01/16/2015
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
BRFSS Core Survey
none
BRFSS Core Survey
BRFSS Optional Modules
none, none
BRFSS Optional Modules
,
BRFSS Sample Questionnaire
Cell Phone Screener
none
Cell Phone Screener
Landline Screener
none
Landline Interview Screener
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
1,643,227
0
0
0
0
1,643,227
Annual Time Burden (Hours)
255,915
0
0
0
0
255,915
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$17,500,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Shari Steinberg 404 639-4942 sxw2@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/21/2015
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