OMB control number
[NCCDPHP] Behavioral Risk Factor Surveillance System (BRFSS)
OMB 0920-1061 · HHS/CDC.
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 can be found here.
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Landline Screener
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-1061 | 2024 BRFSS Questionnaire (Landline Screener) | NA | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.