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Federal forms, ICRs, and supporting documents

Information Collection

BRFSS Core Survey by Online Survey

IC 272761 under ICR 202512-0920-004 · OMB 0920-1061.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

BRFSS Core Survey by Online Survey 0920-1061
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a BRFSS Online Survey Instrument BRFSS Attachment 17 - Example BRFSS Online Survey Instrument_compliant2.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

100,000 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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 16,666 0 0 0 0 16,666
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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