View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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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:
201704-0920-004
Status:
Historical Active
Previous ICR Reference No:
201609-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
16ARJ
Title:
Behavioral Risk Factor Surveillance System (BRFSS)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/16/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/17/2017
Terms of Clearance:
Approved consistent with the understanding that the BRFSS program staff are committed to continue interagency collaboration to improve the performance of sexual orientation and gender identity questions. OMB will assist in making introductions to other programs involved in question development.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2018
03/31/2018
03/31/2018
Responses
1,643,767
0
1,643,227
Time Burden (Hours)
256,049
0
255,915
Cost Burden (Dollars)
0
0
0
Abstract:
The BRFSS is a coordinated system of customized surveys conducted by U.S. states, territories, and the District of Columbia. Respondents are adults 18 years of age and older. The surveys produce state- or jurisdiction-level data about health-related risk behaviors, chronic health conditions, use of preventive services, and emerging health issues. To ensure that BRFSS content is relevant to the current needs of BRFSS partners, CDC updates selected items in the core questionnaire and/or the optional modules on an annual basis. Information collection needs and priorities for 2018 were discussed by CDC and the states at the annual BRFSS partners meeting held March 26-29, 2017. At that time states voted on the items to be adopted in 2018. A field test of proposed changes is needed before the changes are formally incorporated into the CDC-sponsored core questions and optional modules for 2018. The 2017 field test includes 3 sections of the core, 3 modules, and changes in the introduction to the screener.
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:
81 FR 3140
01/20/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 23498
04/21/2016
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
2017 Field Test of Proposed Changes - Screener Only
NA
2017 Field Test Screener Only - U.S. General Population
2017 Field Test of Proposed Changes - Screener and Questionnaire
NA, NA
2017 Field Test Screener - Respondents (Adults >18 Years)
,
2017 Field Test of Proposed Changes to the 2018 Behavioral Risk Factor Surveillance System (BRFSS) (Adults > 18 Years)
BRFSS Core Survey
Attachment 5a-2017
2017 BRFSS Core Survey Questionnaire
BRFSS Optional Modules
Attachment 4b-2017
2017 Approved Questions by Optional Module
Cell Phone Screener
none
Cellphone Screener
Landline Screener
none
Landline 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
1,643,767
1,643,227
0
540
0
0
Annual Time Burden (Hours)
256,049
255,915
0
134
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Non-Substantive Change Request for 0920-1061 includes use of a Field Test and slight increase in Burden Hours.
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
04/17/2017
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