Immigrant, Refugee, and Migrant Health (IRMH) Website Redesign

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1071 Immigrant, Refugee, and Migrant Health (IRMH) Website Redesign Form and Instruction
0920-1071 Usability Testing Script B. Usability testing script External.docx Form and Instruction
A. Interview recruitment script External.docx Recruitment Script IC Document
C. Usability Testing Script Internal.docx Usability Testing Script Internal IC Document
D. Non-research determination.pdf IRB determination IC Document
Service Delivery Fast Track_IRMHRedesign.docx Service Delivery Fasttrack Template IC Document

Information Collection (IC) Details

IC Title:	Immigrant, Refugee, and Migrant Health (IRMH) Website Redesign	Agency IC Tracking Number:	0920-1071-19AWW

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	0920-1071	Usability Testing Script	B. Usability testing script External.docx		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Script	A. Interview recruitment script External.docx	05/14/2019
Usability Testing Script Internal	C. Usability Testing Script Internal.docx	05/14/2019
IRB determination	D. Non-research determination.pdf	05/14/2019
Service Delivery Fasttrack Template	Service Delivery Fast Track_IRMHRedesign.docx	05/14/2019

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