Information Collection Request

Behavioral Risk Factor Surveillance System (BRFSS)

ICR 201604-0920-008 · OMB 0920-1061 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Field Test Survey Form and Instruction New Repair queued
Field Test Screener Form and Instruction New Repair queued
BRFSS Optional Modules Form Unchanged Available
BRFSS Core Survey Form Unchanged Repair queued
Cell Phone Screener Form and Instruction Modified Available
Landline Screener Form and Instruction Modified Repair queued
SS-B_4 18 2016.docx Supporting Statement B Uploaded 2016-04-19 Repair queued
SS-A_4 19 2016_rev 6 06 2016.docx Supporting Statement A Uploaded 2016-06-06 Repair queued
IRB 2988_Continuation9 (3) 2013.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 12 BRFSS Questionnaire Development Process.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 11 Summary Data Quality Report.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 10b-Coding for Technological Barriers.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 10a-2016 Calling Protocols and Dispostion.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 9-BRFSS Data Collectors by State.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 7d 2013 BRFSS Overview.pdf Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 7c 2013 Weighting Documentation.pdf Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 7b Sampling Geostrata by State.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 7a-US Population and BRFSS Sample Size.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 6b Summary of public comments.pdf Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 6a FRN 1 20 2016.pdf Supplementary Document Uploaded 2016-04-14 Available
Attachment 5b-Summary of Optional Modules by State.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 4a-2016 Approved Optional Modules.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 3a-Summary of all core sections.docx Supplementary Document Uploaded 2016-04-14 Available
Attachment 2-List of BRFSS Awardees.docx Supplementary Document Uploaded 2016-04-14 Repair queued
Attachment 1-Authorizing Legislation.pdf Supplementary Document Uploaded 2016-04-14 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221083 Field Test Survey Form and Instruction New
221082 Field Test Screener Form and Instruction New
214640 BRFSS Optional Modules Form Unchanged
214638 BRFSS Core Survey Form Unchanged
214637 Cell Phone Screener Form and Instruction Modified
214636 Landline Screener Form and Instruction Modified
ICR Details
0920-1061 201604-0920-008
Historical Active 201512-0920-006
HHS/CDC
Behavioral Risk Factor Surveillance System (BRFSS)
Revision of a currently approved collection   No
Regular
Approved with change 06/07/2016
Retrieve Notice of Action (NOA) 04/21/2016
Prior terms continue: CDC is encouraged to provide more leadership to the states in the area of question development, ensuring that the state decision process is informed by approaches available to maximize the value of their data. As a general matter, OMB recommends that national surveys: a) ensure that questions new have undergone rigorous cognitive testing, and, if additional testing is needed, it is desirable to coordinate such testing with other agencies who seek data on similar topics; and b) work in the direction of harmonizing, to the extent meaningful, question wording for core and rotating modules with question wording on the principle nationally-representative surveys on a given topic (e.g., the National Health Interview Survey, National Survey on Drug Use and Health, the Current Population Survey, the American Housing Survey, etc.). OMB requests that when BRFSS submits changes to the base questionnaire for approval under the PRA, they indicate how the proposed BRFSS questions compare to relevant questions in existing national surveys.
  Inventory as of this Action Requested Previously Approved
03/31/2018 03/31/2018 03/31/2018
1,644,127 0 1,643,227
256,297 0 255,915
0 0 0

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. Survey instruments are updated annually. This revision is to justify the addition of annual field tests.

US Code: 42 USC 301 Name of Law: PHSA
  
None

Not associated with rulemaking

  81 FR 3140 01/20/2016
81 FR 23498 04/21/2016
Yes

  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 1,644,127 1,643,227 0 900 0 0
Annual Time Burden (Hours) 256,297 255,915 0 382 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The revision includes the provision for annual field testing of the questionnaire and modules.

$17,500,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/21/2016