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Pretest of the Annual Survey of Refugees
Pre-testing of Evaluation Surveys
OMB: 0970-0355
IC ID: 228155
OMB.report
HHS/ACF
OMB 0970-0355
ICR 201606-0970-007
IC 228155
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:
2024-08-26 - Revision of a currently approved collection
2024-03-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment A -- ASR Redesigned Questionnaire Protocol 08-25-17.docx
Other-Pretest Survey
Attachment B -- ASR Refugee Cognitive Interview Protocol 08-25-17.docx
Other-Cognitive Interview
Attachment C -- ASR Refugee In-Depth Intw Protocol 08-25-17.docx
Other-In-Depth Interview
Attachment D -- ASR Stakeholder In-Depth Intw Protocol 08-25-17.docx
Other-Stakeholder Focus Group
Attachment E -- ASR Stakeholder FG Protocol 08-25-17.docx
Other-Stakeholder In-Depth Interview
2017 ASR Pretest -- OMB Part A 08-25-17.docx
Supporting Statement A - ASR Pretest
IC Document
2017 ASR Pretest -- OMB Part B 08-25-17.doc
Supporting Statement B - ASR Pretest
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretest of the Annual Survey of Refugees
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Pretest Survey
Attachment A -- ASR Redesigned Questionnaire Protocol 08-25-17.docx
No
Paper Only
Other-Cognitive Interview
Attachment B -- ASR Refugee Cognitive Interview Protocol 08-25-17.docx
No
Paper Only
Other-In-Depth Interview
Attachment C -- ASR Refugee In-Depth Intw Protocol 08-25-17.docx
No
Fillable Fileable
Other-Stakeholder Focus Group
Attachment D -- ASR Stakeholder In-Depth Intw Protocol 08-25-17.docx
No
Paper Only
Other-Stakeholder In-Depth Interview
Attachment E -- ASR Stakeholder FG Protocol 08-25-17.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
174
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
276
0
276
0
0
0
Annual IC Time Burden (Hours)
276
0
276
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - ASR Pretest
2017 ASR Pretest -- OMB Part A 08-25-17.docx
09/01/2017
Supporting Statement B - ASR Pretest
2017 ASR Pretest -- OMB Part B 08-25-17.doc
09/01/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.