Information Collection Request

Behavioral Risk Factor Surveillance System (BRFSS) - Emergency Request

ICR 201712-0920-008 · OMB 0920-1213 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
BRFSS - Optional Modules Form and Instruction New Available
BRFSS - Core Survey Form and Instruction New Available
BRFSS - Screen Form and Instruction New Available
BRFSS 2018 Justification Part B emergency 12 20 2018.docx Supporting Statement B Uploaded 2017-12-21 Available
BRFSS 2018 Justification Part A emergency 12 20 2017.docx Supporting Statement A Uploaded 2017-12-21 Available
BFRSS emergency request memo.pdf Supplementary Document Uploaded 2017-12-20 Available
IRB exempt 2016-2019 2988 Continuation.docx Supplementary Document Uploaded 2017-12-19 Available
Attachment 12 BRFSS Questionnaire Development Process.docx Supplementary Document Uploaded 2017-12-19 Available
Attachment 11 2015 BRFSS Summary Data Quality Report.pdf Supplementary Document Uploaded 2017-12-19 Available
Attachment 10 Data Collectors Protocol.docx Supplementary Document Uploaded 2017-12-19 Available
Attachment 9 Optional Modules and Split Samples by State.docx Supplementary Document Uploaded 2017-12-19 Available
Attachment 7d BRFSS 2015 Overview.pdf Supplementary Document Uploaded 2017-12-19 Repair queued
Attachment 7c BRFSS Weighting Documentation.pdf Supplementary Document Uploaded 2017-12-19 Available
Attachment 7b Sampling Geostrata by State.docx Supplementary Document Uploaded 2017-12-19 Available
Attachment 7a Adult Population and BRFSS Sample Size by State.docx Supplementary Document Uploaded 2017-12-19 Repair queued
Attachment 2- List of BRFSS Awardees.docx Supplementary Document Uploaded 2017-12-19 Repair queued
2017-22317.pdf Supplementary Document Uploaded 2017-12-19 Available
Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdf Supplementary Document Uploaded 2017-12-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
229529 BRFSS - Optional Modules Form and Instruction New
229525 BRFSS - Core Survey Form and Instruction New
229524 BRFSS - Screen Form and Instruction New
ICR Details
0920-1213 201712-0920-008
Historical Active
HHS/CDC 0920-18
Behavioral Risk Factor Surveillance System (BRFSS) - Emergency Request
New collection (Request for a new OMB Control Number)   No
Emergency 12/29/2017
Approved with change 12/22/2017
Retrieve Notice of Action (NOA) 12/22/2017
OMB Emergency Clearance is approved consistent with the understanding that significant delays in the internal Departmental clearance process would have prevented the Agency from implementing the collection in a timely manner. As these Departmental clearance processes and timing considerations are no longer unanticipated factors in CDC’s preparation and submission of ICRs to OMB for review, it is understood that emergency approvals will not be granted for future ICRs experiencing similar delays as a result of internal Agency or Departmental clearance processes.
  Inventory as of this Action Requested Previously Approved
02/28/2018 2 Months From Approved
264,613 0 0
40,188 0 0
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. 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. The New Emergency Request is being submitted to cover the gap between the end of Calendar Year 2017 and the time when a pending Revision of Behavioral Risk Factor Surveillance System (BRFSS, OMB Control No. 0920-1061) can reach OMB and be approved.
CDC requests OMB approval for a New Emergency ICR to allow States to begin collecting BRFSS data for the calendar year 2018 on time, and thus not disrupt the temporal comparability of the dataset. CDC requests 8 weeks’ emergency approval to begin fieldwork as of January 1, 2018. This is a short-term request as a Standard Revision request for the BRFSS information collection for years 2018-2020 under OMB approval number 0920-1061 is in progress and is expected to reach OMB within the next few weeks. Due in part to new administrative processes put in place at HHS during 2017, which were circumstances beyond the CDC program’s control, CDC was unable to submit the revision request in time for routine OMB approval before January 1, 2018.

US Code: 42 USC 301 Name of Law: U.S. PHSA
  
None

Not associated with rulemaking

No

  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 264,613 0 0 264,613 0 0
Annual Time Burden (Hours) 40,188 0 0 40,188 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission is a New Emergency ICR to allow States to begin collecting BRFSS data for the calendar year 2018. This is a short-term request for collection of data for two months of information prior to approval of the Revision 0920-1061.

$2,916,666
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [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.
12/22/2017