View Information Collection Request (ICR) Package
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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:
202110-0920-003
Status:
Historical Active
Previous ICR Reference No:
202106-0920-009
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1061
Title:
2021 Field Test Behavioral Risk Factor Surveillance System (BRFSS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/21/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/07/2021
Terms of Clearance:
Previous terms continue: Approved consistent with the understanding that CDC will coordinate with NCHS and SAMHSA in the development of the opioid questions and FDA on tobacco related questions. CDC may submit non-substantive change requests when changes to this ICR are limited to modifying existing questions, including those designed to add depth/additional detail, and cycle in and out question modules that have been cleared under this OMB number in the past years (with modest updates). CDC is required to submit a full revision request to OMB for modules on the topics that have not previously been approved by OMB for use in BRFSS or changes to the study design, sample frame, weighting, or administration protocol
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2024
36 Months From Approved
03/31/2022
Responses
1,968,400
0
1,589,082
Time Burden (Hours)
287,798
0
241,519
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. Behavioral Risk Factor Surveillance System (BRFSS) surveys are conducted in collaboration with U.S. states, territories, and the District of Columbia. The surveys will produce state- or sub-state jurisdiction-level data about health-related risk behaviors, chronic health conditions, use of preventive services, and emerging health issues. CDC also creates a national level dataset that is used by HHS to evaluate its progress toward Healthy People 2020 goals and other policy needs. 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. This Change Request is for edits to the core questionnaire approval to divide one module into three, and minor changes to the protocol with no change in burden.
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:
86 FR 14115
03/12/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 48148
08/27/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
2021 Field Test - Survey
0920-1061
2021 BRFFS Questionnaire
BRFSS Core Survey
0920-1061
2021BRFSS Att 3 Core Questionnaire Sections by Year
BRFSS Core Survey by Online Survey
0920-1061
BRFFS Core Online Survey
BRFSS Optional Modules
0920-1061
Attachment 4 Optional Modules by Topic 6-30
BRFSS Optional Modules by Online Survey
0920-1061
BRFSS Optional Modules by Online Survey
Cell Phone Screener
0920-1061
Phone Screening Scripts and Subject Recruitment
Field Test - Screener
0920-1061
Field Test Screener
Landline Screener
0920-1061
BRFSS Landline Screen Script
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
1,968,400
1,589,082
0
379,318
0
0
Annual Time Burden (Hours)
287,798
241,519
0
46,279
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This is a proposed revision to the current BRFFS screening. The request is for approval of 287,798 burden hours.
Annual Cost to Federal Government:
$24,967,312
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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?
No
Agency Contact:
Odion Clunis 770 488-0045 lta2@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:
10/07/2021
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