Information Collection

Pretest of the Annual Survey of Refugees

IC 228155 under ICR 201606-0970-007 · OMB 0970-0355.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Instrument File	Available 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	276	276
Annual IC Time Burden (Hours)	276	276
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.