OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS)

ICR 202008-0920-004 · OMB 0920-1204 · Active

Forms and Documents
DocumentTypeStatusAvailability
ACBS Consent and Survey - child Form Modified Available
ACBS Consent and Survey - adult Form Modified Available
Cellphone Screener - Child Form Modified Available
Landline Screener - Child Form Modified Available
Cell Phone Screener - Adult Form Modified Available
Landline Screener - Adult Form Modified Available
Att16 ACBS Protocol Chnges 2021.docx Supplementary Document Uploaded 2020-08-12 Available
Att15 Design Oprtn NAS.pdf Supplementary Document Uploaded 2020-08-12 Available
Att14 BRFSS History Analysis Guidnce.docx Supplementary Document Uploaded 2020-08-12 Available
Att13 Smmry Data Quality Rpr.docx Supplementary Document Uploaded 2020-08-12 Available
Att12 ACBS Resp Rate Formulae.docx Supplementary Document Uploaded 2020-08-12 Available
Att11 ACBS 2016 Response Rates.docx Supplementary Document Uploaded 2020-08-12 Available
Att10 ACBS Dspstn Codes Call-back Rules.docx Supplementary Document Uploaded 2020-08-12 Available
Att9 ACBS Dt Cllctn Prcss.docx Supplementary Document Uploaded 2020-08-12 Available
Att8b CDC IRB BRFSS Exempt Approval.docx Supplementary Document Uploaded 2020-08-12 Available
Att8a NCEH-ATSDR Research Determination Form.pdf Supplementary Document Uploaded 2020-08-12 Available
Att7 2020 BRFSS Protocol.docx Supplementary Document Uploaded 2020-08-12 Available
Att6a BRFSS Privacy Cnfdlty Protctn.docx Supplementary Document Uploaded 2020-08-12 Available
Att6 2020 BRFSS Questionnaire.docx Supplementary Document Uploaded 2020-08-12 Available
Att4 ACBS Dt Cllctn Gdlns.docx Supplementary Document Uploaded 2020-08-12 Available
Att3 ListACBSAwrdeeStates 20200805.docx Supplementary Document Uploaded 2020-08-12 Available
Att2a Public Comments Received.pdf Supplementary Document Uploaded 2020-08-12 Available
Att2 ACBS 60-day FRN.pdf Supplementary Document Uploaded 2020-08-12 Available
Att1 ACBS Authorizing Legislation.pdf Supplementary Document Uploaded 2020-08-12 Available
1 - SSB ACBS OMB 20200805.docx Supporting Statement B Uploaded 2020-08-12 Available
1 - SSA ACBS OMB 20200806.docx Supporting Statement A Uploaded 2020-08-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
243153 ACBS Data Submission Layout - child Other-Data layout New
224745 ACBS Data Submission Layout - adult Other-Data layout Modified
224744 ACBS Consent and Survey - child Form Modified
224743 ACBS Consent and Survey - adult Form Modified
224742 Cellphone Screener - Child Form Modified
224741 Landline Screener - Child Form Modified
224740 Cell Phone Screener - Adult Form Modified
224739 Landline Screener - Adult Form Modified
ICR Details
0920-1204 202008-0920-004
Active 201612-0920-004
HHS/CDC 0920-1204
Behavioral Risk Factor Surveillance System (BRFSS) Asthma Call-back Survey (ACBS)
Revision of a currently approved collection   No
Regular
Approved without change 11/27/2020
Retrieve Notice of Action (NOA) 08/24/2020
Previous terms continue: ACBS staff should continue to collaborate with BRFSS staff to transparently present a) joint response rates from BRFSS and ACBS and b) potential non-response bias. Tables of prevalence estimates and risk factors disseminated by CDC (either through its web page or publications) should clearly communicate the caveats of state-to-state comparisons. ACBS should continue to assess options for streamlining the instrument to reduce unnecessary burden and synchronize question wording with recent studies.
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 11/30/2020
68,846 0 61,204
6,615 0 6,029
0 0 0
The goal is to add depth to the existing body of asthma data and address questions surrounding the health and experiences of persons with asthma. Data are collected through a follow-up survey approximately two weeks after the BRFSS survey. Information is used by asthma control programs in state health departments and at the federal level.
US Code: 42 USC 247 Name of Law: PHSA
  
None
Not associated with rulemaking
  85 FR 33670 06/02/2020
85 FR 51435 08/20/2020
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 68,846 61,204 0 7,642 0 0
Annual Time Burden (Hours) 6,615 6,029 0 586 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Survey protocol and instrument changes are proposed to improve response rates and based on feedback from the previous survey resulting in slight changes in burden.
$1,700,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Shari Steinberg 404 639-4942 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/24/2020