Information Collection Request

Behavioral Risk Factor Surveillance System (BRFSS)

ICR 201712-0920-009 · OMB 0920-1061 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1061 2018 Field Test - Survey Form and Instruction New Available
Form 0920-1061 2018 Field Test - Screener Form and Instruction New Available
2017 Field Test of Proposed Changes - Screener and Questionnaire Form and Instruction Removed Repair queued
2017 Field Test of Proposed Changes - Screener Only Form and Instruction Removed Available
Form 0920-1061 BRFSS Optional Modules Form and Instruction Modified Repair queued
Form 0920-1061 BRFSS Core Survey Form and Instruction Modified Available
Form 0920-1061 Cell Phone Screener Form and Instruction Modified Repair queued
Form 0920-1061 Landline Screener Form and Instruction Modified Repair queued
Attachment 6b Response to Public Comments.docx Supplementary Document Uploaded 2018-01-09 Repair queued
BRFSS 2018 Justification Part A 01MAR2018.DOCX Supporting Statement A Uploaded 2018-03-01 Available
BRFSS 2018 Justification Part B Dec 20.docx Supporting Statement B Uploaded 2018-01-08 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 Repair queued
Attachment 9 Optional Modules and Split Samples by State.docx Supplementary Document Uploaded 2017-12-19 Repair queued
Attachment 7d BRFSS 2015 Overview.pdf Supplementary Document Uploaded 2017-12-19 Available
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 Repair queued
BRFSS-SOGI Lit Review Feb 2017_Final.docx Supplementary Document Uploaded 2017-05-15 Repair queued
GLOBE Review Report 4-6-17.pdf Supplementary Document Uploaded 2017-05-15 Repair queued
Focus Group on Sexual Orienation and Gender Identity Items_20170105.docx Supplementary Document Uploaded 2017-05-15 Repair queued
Summary of BRFSS Research Activities on Sexual Orientation and Gender Identity.docx Supplementary Document Uploaded 2017-05-15 Available
2017 BRFSS SOGI Module Overview and Analysis Plan.docx Supplementary Document Uploaded 2017-05-15 Available
Change Request for 2017 Field test_04112017.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-04-14 Available
Att 13d-Source of questions on the 2017 BRFSS Field Test.docx Supplementary Document Uploaded 2017-04-14 Available
2017 BRFSS Change Request 9 21 2016 b.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-09-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
229653 2018 Field Test - Survey Form and Instruction New
229652 2018 Field Test - Screener Form and Instruction New
226397 2017 Field Test of Proposed Changes - Screener and Questionnaire Form and Instruction Removed
226396 2017 Field Test of Proposed Changes - Screener Only Form and Instruction Removed
214640 BRFSS Optional Modules Form and Instruction Modified
214638 BRFSS Core Survey Form and Instruction Modified
214637 Cell Phone Screener Form and Instruction Modified
214636 Landline Screener Form and Instruction Modified
ICR Details
0920-1061 201712-0920-009
Historical Active 201704-0920-004
HHS/CDC 0920-1061
Behavioral Risk Factor Surveillance System (BRFSS)
Revision of a currently approved collection   No
Regular
Approved with change 03/01/2018
Retrieve Notice of Action (NOA) 01/10/2018
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. In addition, when changes to this ICR are limited to modifying existing questions, including those designed to add depth/additional detail and cycle in and out methodological modules that have been used in the past years (with modest updates), CDC will submit these changes as non-substantive changes. However, the addition of new question topics or modules or modifications to the sample will require that CDC submit a full revision of the ICR package to OMB.
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 03/31/2018
1,589,082 0 1,643,767
241,518 0 256,049
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. 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. 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. This request includes the most current even-numbered year core questionnaire (to be fielded in 2018 and 2020), and the most current odd-numbered year questionnaire (to be fielded in 2019 and 2021). Changes to the 2019, 2020 and 2021 questionnaires will be submitted in the Annual Change Requests for their corresponding years..

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

Not associated with rulemaking

  82 FR 48087 10/16/2017
83 FR 816 01/08/2018
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 1,589,082 1,643,767 0 -54,685 0 0
Annual Time Burden (Hours) 241,518 256,049 0 -14,531 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Submission of 0920-1061 BRFSS is a Revision that is done on annual basis. 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.

$17,500,000
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.
01/10/2018