List of ICR Attachments

1 - ACBS ListAttchmnts 2023 Rev.docx

[NCEH] Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS)

List of ICR Attachments

OMB: 0920-1204

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BRFSS Asthma Call-back Survey List of Attachments

List of Attachments


Attachment 1 Authorizing Legislation: Public Health Service Act

Attachment 2 60-day Federal Register Notice

Attachment 3 List of ACBS 2023 Awardee States

Attachment 4 ACBS Data Collection Guidelines 2024

Attachment 5a ACBS Landline Screener – Adult

Attachment 5b ACBS Cellphone Screener – Adult

Attachment 5c ACBS Landline Screener – Child

Attachment 5d ACBS Cellphone Screener – Child

Attachment 5e ACBS Adult Consent and Questionnaire

Attachment 5f ACBS Child Consent and Questionnaire

Attachment 5g ACBS Adult Data Submission Layout

Attachment 5h ACBS Child Data Submission Layout

Attachment 6 BRFSS Questionnaire 2023

Attachment 6a. BRFSS Privacy and Confidentiality Protections

Attachment 6b BRFSS IRB Statement

Attachment 6c BRFSS OMB SSA

Attachment 6d BRFSS OMB SSA

Attachment 7 2023 BRFSS Data Collection protocol

Attachment 7a BRFSS 2021 Data Comparability data

Attachment 8a NCEH-ATSDR Research Determination Form

Attachment 8b BRFSS CDC IRB Statement

Attachment 9 ACBS Data Collection Process Flowchart

Attachment 10 ACBS Disposition Codes and Rules

Attachment 11 ACBS Response Rates by State 2020

Attachment 12 ACBS Response Rate Formulae

Attachment 13 ACBS Summary Data Quality Report

Attachment 14 ACBS History and Analysis Guidance

Attachment 14 Design and Operation of the National Asthma Survey




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