OMB control number

Behavioral Risk Factor Surveillance System (BRFSS) - Emergency Request

OMB 0920-1213 · HHS/CDC.

OMB 0920-1213

Latest Forms, Documents, and Supporting Material

Document Name
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

All Historical Document Collections

201712-0920-008

2017-12-22