Information Collection Request

[NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS)

ICR 202512-0920-004 · OMB 0920-1061 · Active

Forms and Documents
DocumentTypeStatusAvailability
BRFSS Online Optional Modules Survey Instrument Form and Instruction Unchanged Repair queued
BRFSS Optional Modules by Online Survey Form and Instruction Unchanged Repair queued
BRFSS Online Survey Instrument Form and Instruction Unchanged Repair queued
BRFSS Core Survey by Online Survey Form and Instruction Unchanged Repair queued
Form 0920-1061 2022 Field Test Questionnaire Form and Instruction Unchanged Repair queued
Form 0920-1061 Field Test Questionnaire Form and Instruction Unchanged Repair queued
Form 0920-1061 BRFSS Questionnaire (Field Test) Form and Instruction Unchanged Repair queued
Form 0920-1061 Field Test - Screener Form and Instruction Unchanged Repair queued
Form 0920-1061 2026 BRFSS Questionnaire_09JAN2026 Form and Instruction Modified Repair queued
Form 0920-1061 2026 BRFSS Questionnaire Form and Instruction Modified Available
Form 0920-1061 BRFSS Questionnaire (OPTIONAL MODULES) Form and Instruction Modified Repair queued
Form 0920-1061 BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction Modified Repair queued
Form 0920-1061 2026 BRFSS Questionnaire_09JAN2026 Form and Instruction Modified Repair queued
Form 0920-1061 2026 BRFSS Questionnaire Form and Instruction Modified Repair queued
Form 0920-1061 BRFSS Questionnaire (CORE SURVEY - Sections by Year) Form and Instruction Modified Repair queued
Form 0920-1061 BRFSS Questionnaire (CORE SURVEY) Form and Instruction Modified Repair queued
Form 0920-1061 BRFSS Questionnaire (Cell Phone Screener) Form and Instruction Unchanged Available
Form 0920-1061 Cell Phone Screener Form and Instruction Unchanged Repair queued
Form 0920-1061 2024 BRFSS Questionnaire (Landline Screener) Form and Instruction Unchanged Repair queued
Form 0920-1061 Landline Screener Form and Instruction Unchanged Repair queued
2026 BRFSS Change Request_20260108.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-09 Available
2026 BRFSS Change Request_20251209.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-12-10 Repair queued
2026 BRFSS Change Request_20251209.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-12-10 Repair queued
2026 BRFSS Data Collection protocol 202501121.docx Supplementary Document Uploaded 2025-12-10 Available
2026 BRFSS Data Collection protocol 202501121.docx Supplementary Document Uploaded 2025-12-10 Repair queued
BRFSS IRB 2988 New Memo _20210107_Research Determination.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS IRB 2988 New Memo _20210107_Research Determination.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 17 - Example BRFSS Online Survey Instrument_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 17 - Example BRFSS Online Survey Instrument_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 16 -Report on the Redesign of the Core Questionnaire_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 16 -Report on the Redesign of the Core Questionnaire_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 15 BRFSS Modules by State and Split Samples_2025_2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 15 BRFSS Modules by State and Split Samples_2025_2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 14 - BRFSS Crisis Protocol for Sensitive Questions_2025-2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 14 - BRFSS Crisis Protocol for Sensitive Questions_2025-2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Missing upstream
BRFSS Attachment 13 Draft 2025 BRFSS Questionnaire_2025_2027 Cycle_compliant3.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 13 Draft 2025 BRFSS Questionnaire_2025_2027 Cycle_compliant3.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 12 Field Test for BRFSS Questionnaire_2025-2027_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 12 Field Test for BRFSS Questionnaire_2025-2027_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 11- Methods for BFRSS Question Adoption and Modfication_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 11- Methods for BFRSS Question Adoption and Modfication_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 10 - 2024 BRFSS Data Collection Protocol with Disposition Table_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 10 - 2024 BRFSS Data Collection Protocol with Disposition Table_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 9 - BRFSS 2023 Summary Data Quality Report with Response Rates_2025-2027 Cycle.pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 9 - BRFSS 2023 Summary Data Quality Report with Response Rates_2025-2027 Cycle.pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 8 State Adult Population and BRFSS Sample Size 2023_2025_2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 8 State Adult Population and BRFSS Sample Size 2023_2025_2027 Cycle.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 7 BRFSS 2023 Weighting and Comparability Technical Documentation_2025_2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Available
BRFSS Attachment 7 BRFSS 2023 Weighting and Comparability Technical Documentation_2025_2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 6a Federal Register Notice_2025_2027.pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 6a Federal Register Notice_2025_2027.pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 5 Screening Scripts and Subject Recruitment_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 5 Screening Scripts and Subject Recruitment_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 4 Optional Modules by Topic_2025_2027 Updated_compliant3.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 4 Optional Modules by Topic_2025_2027 Updated_compliant3.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 3- Core Questionnaire Sections by Year_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 3- Core Questionnaire Sections by Year_2025-2027 Cycle_compliant2.docx Supplementary Document Uploaded 2025-04-15 Repair queued
BRFSS Attachment 2- List of BRFSS Awardees_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 2- List of BRFSS Awardees_2025-2027.docx Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdf Supplementary Document Uploaded 2024-12-02 Repair queued
BRFSS Supporting Statement A 2025-2027_final.docx Supporting Statement A Uploaded 2024-12-02 Repair queued
BRFSS Supporting Statement A 2025-2027_final.docx Supporting Statement A Uploaded 2024-12-02 Available
BRFSS Supporting Statement B 2025-2027_compliant2.docx Supporting Statement B Uploaded 2025-04-15 Repair queued
BRFSS Supporting Statement B 2025-2027_compliant2.docx Supporting Statement B Uploaded 2025-04-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
272762 BRFSS Optional Modules by Online Survey Form and Instruction UnchangedBRFSS Online Optional Modules Survey Instrument
272762 BRFSS Optional Modules by Online Survey Form and Instruction Unchanged
272761 BRFSS Core Survey by Online Survey Form and Instruction UnchangedBRFSS Online Survey Instrument
272761 BRFSS Core Survey by Online Survey Form and Instruction Unchanged
229653 Field Test Questionnaire Form and Instruction Unchanged2022 Field Test Questionnaire
229653 Field Test Questionnaire Form and Instruction Unchanged
229652 Field Test - Screener Form and Instruction UnchangedBRFSS Questionnaire (Field Test)
229652 Field Test - Screener Form and Instruction Unchanged
214640 BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction Modified2026 BRFSS Questionnaire_09JAN2026
214640 BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction Modified2026 BRFSS Questionnaire
214640 BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction ModifiedBRFSS Questionnaire (OPTIONAL MODULES)
214640 BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction Modified
214638 BRFSS Questionnaire (CORE SURVEY) Form and Instruction Modified2026 BRFSS Questionnaire_09JAN2026
214638 BRFSS Questionnaire (CORE SURVEY) Form and Instruction Modified2026 BRFSS Questionnaire
214638 BRFSS Questionnaire (CORE SURVEY) Form and Instruction ModifiedBRFSS Questionnaire (CORE SURVEY - Sections by Year)
214638 BRFSS Questionnaire (CORE SURVEY) Form and Instruction Modified
214637 Cell Phone Screener Form and Instruction UnchangedBRFSS Questionnaire (Cell Phone Screener)
214637 Cell Phone Screener Form and Instruction Unchanged
214636 Landline Screener Form and Instruction Unchanged2024 BRFSS Questionnaire (Landline Screener)
214636 Landline Screener Form and Instruction Unchanged
ICR Details
0920-1061 202512-0920-004
Active 202411-0920-013
HHS/CDC 0920-26-0007
[NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 01/09/2026
Retrieve Notice of Action (NOA) 12/10/2025
  Inventory as of this Action Requested Previously Approved
04/30/2028 04/30/2028 04/30/2028
1,968,400 0 1,968,400
274,632 0 274,632
0 0 0

The BRFSS is a coordinated system of customized surveys conducted by U.S. states, territories, and the District of Columbia. Respondents are adults 18 years of age and older. Behavioral Risk Factor Surveillance System (BRFSS) surveys are conducted in collaboration with U.S. states, territories, and the District of Columbia. The surveys will produce state- or sub-state jurisdiction-level data about health-related risk behaviors, chronic health conditions, use of preventive services, and emerging health issues. CDC also creates a national level dataset that is used by HHS to evaluate its progress toward Healthy People 2020 goals and other policy needs. To ensure that BRFSS content is relevant to the current needs of BRFSS partners, CDC updates selected items in the core questionnaire and/or the optional modules on an annual basis. This Non-Substantive Change Request is submitted for: 1) changes in optional modules, including minor changes in wording and/or response options and adding new questions (Disability-ADHD, COVID); and 2) changes to the 2026 Calling Protocol and Dispositions. There is no change to the previously approved burden associated with the 0920-1061 collection.

US Code: 42 USC 301 Name of Law: PHSA
  
None

Not associated with rulemaking

  89 FR 65355 08/09/2024
89 FR 95789 12/03/2024
Yes

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,968,400 1,968,400 0 0 0 0
Annual Time Burden (Hours) 274,632 274,632 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$32,225,388
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/10/2025