Information Collection

Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA

IC 224315 under ICR 201503-0920-011 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-17BL Final Data Collection Instrument #1 Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA	Form and Instruction
Form 0920-17BL Data Collection Instrument # 2 Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA	Form and Instruction
Form 0920-17BL Final Data Collection Instrument #3 ASTHM Exhibit v3 0 smm Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA	Form and Instruction
0920-17BL Final Data Collection Instrument #1 Final Data Collection Instrument #1 .docx	Form and Instruction
0920-17BL Data Collection Instrument # 2 Data Collection Instrument # 2.docx	Form and Instruction
0920-17BL Final Data Collection Instrument #3 ASTHM Exhibit v3 0 s Final Data Collection Instrument #3 ASTHM Exhibit v3 0 smm.docx	Form and Instruction
Final OMB Gen IC Service Delivery Fast Track for ASTMH Exhibit v3 0_HJ_SMM.docx Final OMB Gen IC Service Delivery Fast Track for ASTMH Exhibit v3 0_HJ_SMM	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA

Agency IC Tracking Number:

17BL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	0920-17BL	Final Data Collection Instrument #1	Final Data Collection Instrument #1 .docx	No	Fillable Fileable
Form and Instruction	0920-17BL	Data Collection Instrument # 2	Data Collection Instrument # 2.docx	No	Fillable Fileable
Form and Instruction	0920-17BL	Final Data Collection Instrument #3 ASTHM Exhibit v3 0 smm	Final Data Collection Instrument #3 ASTHM Exhibit v3 0 smm.docx	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Final OMB Gen IC Service Delivery Fast Track for ASTMH Exhibit v3 0_HJ_SMM	Final OMB Gen IC Service Delivery Fast Track for ASTMH Exhibit v3 0_HJ_SMM.docx	11/03/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.