2024 BRFSS Questionnaire - (OPTIONAL MODULES)

[NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS)

OMB: 0920-1061

IC ID: 214640

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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2024 BRFSS Questionnaire - (OPTIONAL MODULES) 0920-1061-24BN
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1061-24BN 2024 BRFSS Questionnaire (OPTIONAL MODULES) by Topic 6-30 5a - 2024 BRFSS Questionnaire.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

440,000 0
   
Individuals or Households
 
   100 %

  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 440,000 0 0 0 0 440,000
Annual IC Time Burden (Hours) 110,000 0 0 0 0 110,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2017 Summary of Approved Optional Modules Attachment 4a-2017 Approved Optional Modules.docx 09/22/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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