Health Related Behaviors Survey

Documents and Forms

Document Name Document Type
2023 HRBS Annotated Survey_10.21 w Disclosure Notice.docx Other-Survey
HRBS Survey_10.12.23.docx Other-Survey
2022 HRBS Emails 1.24.22.pdf Health Related Behaviors Survey Emails IC Document
Copy of 2024 HRBS Items 9.25.23.xlsx HRBS Items IC Document
2024 HRBS Emails 10.12.23.docx Health Related Behaviors Survey Emails IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Related Behaviors Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			HRBS Survey_10.12.23.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22,100	22,100
Annual IC Time Burden (Hours)	7,367	7,367
Annual IC Cost Burden (Dollars)	209,333	209,333

Documents for IC

Title	Document	Date Uploaded
HRBS Items	Copy of 2024 HRBS Items 9.25.23.xlsx	10/12/2023
Health Related Behaviors Survey Emails	2024 HRBS Emails 10.12.23.docx	10/12/2023

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