BRFSS Core Survey

Behavioral Risk Factor Surveillance System (BRFSS)

OMB: 0920-1061

IC ID: 214638

Information Collection (IC) Details

View Information Collection (IC)

BRFSS Core Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1061 Even-Numbered Year BRFSS Core Questionnaire Attachment 3a Even- Numbered Year Core Questionnaire.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1061 Odd-Numbered Year BRFSS Core Questionnaire Attachment 3b Odd-numbered Year Core Questionnaire.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

480,000 0
   
Individuals or Households
 
   100 %

  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 480,000 0 -14,650 0 0 494,650
Annual IC Time Burden (Hours) 120,000 0 -3,663 0 0 123,663
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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