Information Collection

[NCCDPHP] Cognitive testing and RDD push-to-web pilot testing

IC 260865 under ICR 202301-0920-011 · OMB 0920-1291.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1291 Attachment 1.docx	Other-WORD
1291 Attachment 5.docx	Other-CATI
1291 Attachment 1.docx Schedule (in weeks): BRFSS Cognitive Testing Questions	IC Document
1291 Attachment 2.docx Pilot 2023: Testing the Use of Text Messaging and Web Data Collection	IC Document
1291 Attachment 3.docx CDC BRFSS Cognitive Testing Task: Justification for Proposed Incentive	IC Document
1291 GenIC PTW Pilot Testing for BRFSS.docx GenIC Submitted Under Cognitive Testing and Pilot Testing	IC Document
1291 Attachment 6.docx COGNITIVE TESTING of the BRFSS Hepatitis Questions Top Line Summary Report	IC Document

IC Title:

Agency IC Tracking Number:

0920-1291-23GK

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			1291 Attachment 1.docx		No		Fillable Printable
Other-CATI			1291 Attachment 5.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,425

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,425	8,425
Annual IC Time Burden (Hours)	1,297	1,297
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Schedule (in weeks): BRFSS Cognitive Testing Questions	1291 Attachment 1.docx	06/28/2023
Pilot 2023: Testing the Use of Text Messaging and Web Data Collection	1291 Attachment 2.docx	06/28/2023
CDC BRFSS Cognitive Testing Task: Justification for Proposed Incentive	1291 Attachment 3.docx	06/28/2023
GenIC Submitted Under Cognitive Testing and Pilot Testing	1291 GenIC PTW Pilot Testing for BRFSS.docx	06/28/2023
COGNITIVE TESTING of the BRFSS Hepatitis Questions Top Line Summary Report	1291 Attachment 6.docx	06/28/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.