Information Collection Request

Measuring the Psycho-Social Impact on Communities Affected by Landmines and Unexploded Ordnance

ICR 200901-0920-005 · OMB 0920-0808 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4 Cluster Munitions Focus Group Survey Instrument Form New Available
Form 3 Control Focus Group Survey Instrument Form New Available
Form 2 Instrument for Household Survey-Control Group Form New Available
Form 1 Household respondents survey instrument for cluster munitions group Form New Available
SS PART B -- 10-15-08_sa.doc Supporting Statement B Uploaded 2008-12-04 Available
Appendix 5 - Biblio and Refs.doc Supplementary Document Uploaded 2008-12-04 Available
Appendix 4 - Harvard IRB Letter.pdf Supplementary Document Uploaded 2008-12-04 Available
SS PART A--10-15-08.doc Supporting Statement A Uploaded 2008-12-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
187753 Control Focus Group Survey Instrument Form NewCluster Munitions Focus Group Survey Instrument
187752 Cluster Munitions Focus Group Survey Instrument Form NewControl Focus Group Survey Instrument
187751 Household respondents survey instrument (control group) Form NewInstrument for Household Survey-Control Group
187750 Household respondents survey instrument for cluster munitions group Form NewHousehold respondents survey instrument for cluster munitions group

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2011 24 Months From Approved
1,264 0 0
1,328 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Cluster Munitions Focus Group Survey Instrument 3
Control Focus Group Survey Instrument 4
Household respondents survey instrument (control group) 2
Household respondents survey instrument for cluster munitions group 1

table that charts list of burden
  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 1,264 0 0 1,264 0 0
Annual Time Burden (Hours) 1,328 0 0 1,328 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No