2019 Field Test Behavioral Risk Factor Surveillance System (BRFSS)

ICR 201908-0920-002

OMB: 0920-1061

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2019-08-05
Justification for No Material/Nonsubstantive Change
2019-08-05
Supplementary Document
2019-05-09
Supplementary Document
2019-05-09
Supplementary Document
2019-05-09
Justification for No Material/Nonsubstantive Change
2019-05-09
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Supplementary Document
2019-01-14
Justification for No Material/Nonsubstantive Change
2018-08-27
Justification for No Material/Nonsubstantive Change
2018-05-10
Supporting Statement A
2019-03-11
Supporting Statement B
2019-03-11
Supplementary Document
2017-12-19
Justification for No Material/Nonsubstantive Change
2017-04-14
Justification for No Material/Nonsubstantive Change
2016-09-22
ICR Details
0920-1061 201908-0920-002
Historical Active 201905-0920-004
HHS/CDC 0920-1061-19BNF
2019 Field Test Behavioral Risk Factor Surveillance System (BRFSS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/14/2019
Retrieve Notice of Action (NOA) 08/05/2019
Previous terms continue: Approved consistent with the understanding that CDC will coordinate with NCHS and SAMHSA in the development of the opioid questions. Previous terms continue: CDC may submit non-substantive change requests when changes to this ICR are limited to modifying existing questions, including those designed to add depth/additional detail, and cycle in and out question modules that have been cleared under this OMB number in the past years (with modest updates). CDC is required to submit a full revision request to OMB for modules on the topics that have not previously been approved by OMB for use in BRFSS or changes to the study design, sample frame, weighting, or administration protocol
  Inventory as of this Action Requested Previously Approved
03/31/2022 03/31/2022 03/31/2022
1,589,082 0 1,589,082
241,519 0 241,519
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. This Change Request is for edits to the core questionnaire approval to divide one module into three, and minor changes to the protocol with no change in burden.

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

Not associated with rulemaking

  83 FR 47171 09/18/2018
84 FR 2516 02/07/2019
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 1,589,082 0 0 0 0
Annual Time Burden (Hours) 241,519 241,519 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$17,500,000
Yes Part B of Supporting Statement
    No
    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.
08/05/2019


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