Information Collection

Annual Survey of Refugees - Survey Instrument

IC 9803 under ICR 201812-0970-002 · OMB 0970-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ASR 2018- Appendix A - ASR Questionnaire_CLEAN.doc	Other-Survey

IC Title:

Annual Survey of Refugees - Survey Instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 4 CFR 45

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			ASR 2018- Appendix A - ASR Questionnaire_CLEAN.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

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	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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