BRFSS Core Survey by Online Survey

Behavioral Risk Factor Surveillance System (BRFSS)

OMB: 0920-1061

IC ID: 249660

Information Collection (IC) Details

View Information Collection (IC)

BRFSS Core Survey by Online Survey 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 BRFFS Core Online Survey 2021BRFSS Att 13 BRFSS 2021 Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

100,000 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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 16,666 0 0 0 0 16,666
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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