BRFSS Optional Modules by Online Survey

Behavioral Risk Factor Surveillance System (BRFSS)

OMB: 0920-1061

IC ID: 249661

Information Collection (IC) Details

View Information Collection (IC)

BRFSS Optional Modules 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 BRFSS Optional Modules by Online Survey Attachment 4 Optional Modules by Topic 6-30.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

80,000 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 80,000 0 0 0 0 80,000
Annual IC Time Burden (Hours) 13,333 0 0 0 0 13,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy