BRFSS - Screen

Behavioral Risk Factor Surveillance System (BRFSS) - Emergency Request

OMB: 0920-1213

IC ID: 229524

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

BRFSS - Screen
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA BRFSS Landline and Cell Phone Screening Script Attachment 8 Landline and Cell Phone Screening Script.docx NA No   Fillable Fileable

Health Public Health Monitoring

 

111,280 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 111,280 0 111,280 0 0 0
Annual IC Time Burden (Hours) 1,855 0 1,855 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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