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

⚠️ Notice: This information collection may be referencing outdated material.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

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

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	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

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 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

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.