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Assessment of "The Refugee Journey to Wellbeing" Exhibit at the 2016 American Society of Tropical Medicine and Hygiene (ASTMH) Conference, Atlanta, GA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0920-1071
IC ID: 224315
OMB.report
HHS/CDC
OMB 0920-1071
ICR 201503-0920-011
IC 224315
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:
2024-05-08 - Revision of a currently approved collection
2024-03-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-17BL
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted 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 %
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
350
0
350
0
0
0
Annual IC Time Burden (Hours)
27
0
27
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.