Cell Phone Screener

Behavioral Risk Factor Surveillance System (BRFSS)

OMB: 0920-1061

IC ID: 214637

Information Collection (IC) Details

View Information Collection (IC)

Cell Phone Screener 0920-1061
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1061 Phone Screening Scripts and Subject Recruitment 2021BRFSS Att 5 Screening Scripts and Subject Recruitment.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

694,000 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 694,000 0 0 0 0 694,000
Annual IC Time Burden (Hours) 11,567 0 0 0 0 11,567
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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