OMB control number

Behavioral Risk Factor Surveillance System (BRFSS) - Emergency Request

OMB 0920-1213 · HHS/CDC.

OMB 0920-1213

Latest forms, documents, and information collections
Document	Type
BRFSS - Optional Modules	Form and Instruction
BRFSS - Core Survey	Form and Instruction
BRFSS - Screen	Form and Instruction
BRFSS 2018 Justification Part B emergency 12 20 2018.docx	Supporting Statement B
BRFSS 2018 Justification Part A emergency 12 20 2017.docx	Supporting Statement A
BFRSS emergency request memo.pdf	Supplementary Document
IRB exempt 2016-2019 2988 Continuation.docx	Supplementary Document
Attachment 12 BRFSS Questionnaire Development Process.docx	Supplementary Document
Attachment 11 2015 BRFSS Summary Data Quality Report.pdf	Supplementary Document
Attachment 10 Data Collectors Protocol.docx	Supplementary Document
Attachment 9 Optional Modules and Split Samples by State.docx	Supplementary Document
Attachment 7d BRFSS 2015 Overview.pdf	Supplementary Document
Attachment 7c BRFSS Weighting Documentation.pdf	Supplementary Document
Attachment 7b Sampling Geostrata by State.docx	Supplementary Document
Attachment 7a Adult Population and BRFSS Sample Size by State.docx	Supplementary Document
Attachment 2- List of BRFSS Awardees.docx	Supplementary Document
2017-22317.pdf	Supplementary Document
Attachment 1 Authorizing Legislation [Section 301 of the Public Health Service Act (42 USC 241)].pdf	Supplementary Document
BRFSS - Optional Modules	Form and Instruction
BRFSS - Core Survey	Form and Instruction
BRFSS - Screen	Form and Instruction

Historical document collections
Reference	Filing	Received	Concluded	Action
201712-0920-008	New collection (Request for a new OMB Control Number)	2017-12-22		Approved with change