OMB control number

[NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS)

OMB 0920-1061 ยท HHS/CDC.

OMB 0920-1061

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.

The latest form for [NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS) expires 2028-04-30 and is listed under ICR 202512-0920-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
BRFSS Online Optional Modules Survey InstrumentForm and Instruction
BRFSS Optional Modules by Online SurveyForm and Instruction
BRFSS Online Survey InstrumentForm and Instruction
BRFSS Core Survey by Online SurveyForm and Instruction
Form 0920-1061 2022 Field Test QuestionnaireForm and Instruction
Form 0920-1061 Field Test QuestionnaireForm and Instruction
Form 0920-1061 BRFSS Questionnaire (Field Test)Form and Instruction
Form 0920-1061 Field Test - ScreenerForm and Instruction
Form 0920-1061 2026 BRFSS Questionnaire_09JAN2026 (document unavailable)Form and Instruction
Form 0920-1061 2026 BRFSS QuestionnaireForm and Instruction
Form 0920-1061 BRFSS Questionnaire (OPTIONAL MODULES)Form and Instruction
Form 0920-1061 BRFSS Questionnaire - (OPTIONAL MODULES)Form and Instruction
Form 0920-1061 2026 BRFSS Questionnaire_09JAN2026 (document unavailable)Form and Instruction
Form 0920-1061 2026 BRFSS QuestionnaireForm and Instruction
Form 0920-1061 BRFSS Questionnaire (CORE SURVEY - Sections by Year)Form and Instruction
Form 0920-1061 BRFSS Questionnaire (CORE SURVEY)Form and Instruction
Form 0920-1061 BRFSS Questionnaire (Cell Phone Screener)Form and Instruction
Form 0920-1061 Cell Phone ScreenerForm and Instruction
Form 0920-1061 2024 BRFSS Questionnaire (Landline Screener)Form and Instruction
Form 0920-1061 Landline ScreenerForm and Instruction
2026 BRFSS Change Request_20260108.docxJustification for No Material/Nonsubstantive Change
2026 BRFSS Change Request_20251209.docxJustification for No Material/Nonsubstantive Change
2026 BRFSS Data Collection protocol 202501121.docxSupplementary Document
2026 BRFSS Data Collection protocol 202501121.docx Supplementary Document
BRFSS IRB 2988 New Memo _20210107_Research Determination.docxSupplementary Document
BRFSS IRB 2988 New Memo _20210107_Research Determination.docx Supplementary Document
BRFSS Attachment 17 - Example BRFSS Online Survey Instrument_compliant2.docxSupplementary Document
BRFSS Attachment 17 - Example BRFSS Online Survey Instrument_compliant2.docx Supplementary Document
BRFSS Attachment 16 -Report on the Redesign of the Core Questionnaire_2025-2027.docxSupplementary Document
BRFSS Attachment 16 -Report on the Redesign of the Core Questionnaire_2025-2027.docx Supplementary Document
BRFSS Attachment 15 BRFSS Modules by State and Split Samples_2025_2027 Cycle.docxSupplementary Document
BRFSS Attachment 15 BRFSS Modules by State and Split Samples_2025_2027 Cycle.docx Supplementary Document
BRFSS Attachment 14 - BRFSS Crisis Protocol for Sensitive Questions_2025-2027 Cycle.docxSupplementary Document
BRFSS Attachment 14 - BRFSS Crisis Protocol for Sensitive Questions_2025-2027 Cycle.docx Supplementary Document
BRFSS Attachment 13 Draft 2025 BRFSS Questionnaire_2025_2027 Cycle_compliant3.docxSupplementary Document
BRFSS Attachment 12 Field Test for BRFSS Questionnaire_2025-2027_compliant2.docxSupplementary Document
BRFSS Attachment 11- Methods for BFRSS Question Adoption and Modfication_2025-2027.docxSupplementary Document
BRFSS Attachment 11- Methods for BFRSS Question Adoption and Modfication_2025-2027.docx Supplementary Document
BRFSS Attachment 10 - 2024 BRFSS Data Collection Protocol with Disposition Table_2025-2027 Cycle_compliant2.docxSupplementary Document
BRFSS Attachment 9 - BRFSS 2023 Summary Data Quality Report with Response Rates_2025-2027 Cycle.pdfSupplementary Document
BRFSS Attachment 9 - BRFSS 2023 Summary Data Quality Report with Response Rates_2025-2027 Cycle.pdf Supplementary Document
BRFSS Attachment 8 State Adult Population and BRFSS Sample Size 2023_2025_2027 Cycle.docxSupplementary Document
BRFSS Attachment 7 BRFSS 2023 Weighting and Comparability Technical Documentation_2025_2027 Cycle_compliant2.docxSupplementary Document
BRFSS Attachment 7 BRFSS 2023 Weighting and Comparability Technical Documentation_2025_2027 Cycle_compliant2.docx Supplementary Document
BRFSS Attachment 6a Federal Register Notice_2025_2027.pdfSupplementary Document
BRFSS Attachment 6a Federal Register Notice_2025_2027.pdf Supplementary Document
BRFSS Attachment 5 Screening Scripts and Subject Recruitment_2025-2027 Cycle_compliant2.docxSupplementary Document
BRFSS Attachment 4 Optional Modules by Topic_2025_2027 Updated_compliant3.docxSupplementary Document
BRFSS Attachment 4 Optional Modules by Topic_2025_2027 Updated_compliant3.docx Supplementary Document
BRFSS Attachment 3- Core Questionnaire Sections by Year_2025-2027 Cycle_compliant2.docxSupplementary Document
BRFSS Attachment 3- Core Questionnaire Sections by Year_2025-2027 Cycle_compliant2.docx Supplementary Document
BRFSS Attachment 2- List of BRFSS Awardees_2025-2027.docxSupplementary Document
BRFSS Attachment 2- List of BRFSS Awardees_2025-2027.docx Supplementary Document
BRFSS Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdfSupplementary Document
BRFSS Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdf Supplementary Document
BRFSS Supporting Statement A 2025-2027_final.docxSupporting Statement A
BRFSS Supporting Statement A 2025-2027_final.docxSupporting Statement A
BRFSS Supporting Statement B 2025-2027_compliant2.docxSupporting Statement B
BRFSS Supporting Statement B 2025-2027_compliant2.docxSupporting Statement B
BRFSS Optional Modules by Online Survey Form and Instruction
BRFSS Optional Modules by Online Survey Form and Instruction
BRFSS Core Survey by Online Survey Form and Instruction
BRFSS Core Survey by Online Survey Form and Instruction
Field Test Questionnaire Form and Instruction
Field Test Questionnaire Form and Instruction
Field Test - Screener Form and Instruction
Field Test - Screener Form and Instruction
BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction
BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction
BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction
BRFSS Questionnaire - (OPTIONAL MODULES) Form and Instruction
BRFSS Questionnaire (CORE SURVEY) Form and Instruction
BRFSS Questionnaire (CORE SURVEY) Form and Instruction
BRFSS Questionnaire (CORE SURVEY) Form and Instruction
BRFSS Questionnaire (CORE SURVEY) Form and Instruction
Cell Phone Screener Form and Instruction
Cell Phone Screener Form and Instruction
Landline Screener Form and Instruction
Landline Screener Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-0920-004 No material or nonsubstantive change to a currently approved collection 2025-12-10 Approved with change
202411-0920-013 Revision of a currently approved collection 2024-12-04
202312-0920-004 No material or nonsubstantive change to a currently approved collection 2023-12-11 Approved without change
202212-0920-011 No material or nonsubstantive change to a currently approved collection 2022-12-16 Approved with change
202207-0920-014 No material or nonsubstantive change to a currently approved collection 2022-09-09 Approved with change
202205-0920-007 No material or nonsubstantive change to a currently approved collection 2022-05-17 Improperly submitted and continue
202110-0920-003 Revision of a currently approved collection 2021-10-07 Approved without change
202106-0920-009 No material or nonsubstantive change to a currently approved collection 2021-06-22 Approved without change
202011-0920-001 No material or nonsubstantive change to a currently approved collection 2020-11-10 Approved without change
202008-0920-017 No material or nonsubstantive change to a currently approved collection 2020-09-03 Withdrawn and continue
201908-0920-002 No material or nonsubstantive change to a currently approved collection 2019-08-05 Approved without change
201905-0920-004 No material or nonsubstantive change to a currently approved collection 2019-05-09 Approved without change
201812-0920-005 Revision of a currently approved collection 2019-02-08 Approved with change
201808-0920-020 No material or nonsubstantive change to a currently approved collection 2018-08-28 Approved with change
201808-0920-006 No material or nonsubstantive change to a currently approved collection 2018-08-10 Withdrawn and continue
201805-0920-001 No material or nonsubstantive change to a currently approved collection 2018-05-15 Approved without change
201712-0920-009 Revision of a currently approved collection 2018-01-10 Approved with change
201712-0920-003 Revision of a currently approved collection 2017-12-14 Improperly submitted and continue
201704-0920-004 No material or nonsubstantive change to a currently approved collection 2017-04-17 Approved with change
201609-0920-009 No material or nonsubstantive change to a currently approved collection 2016-09-27 Approved with change
201606-0920-009 No material or nonsubstantive change to a currently approved collection 2016-06-15 Approved with change
201604-0920-008 Revision of a currently approved collection 2016-04-21 Approved with change
201512-0920-006 No material or nonsubstantive change to a currently approved collection 2015-12-10 Approved without change
201501-0920-014 Existing collection in use without an OMB Control Number 2015-01-21 Approved with change

OMB Details

Landline Screener

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-10612024 BRFSS Questionnaire (Landline Screener)NAForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.