Information Collection Request

Qualitative Information Collection on Emerging Diseases among the Foreign-born in the US

ICR 201911-0920-004 · OMB 0920-0987 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Att. F - Example Participant Screener (1).docx Supplementary Document Uploaded 2019-11-13 Available
Att. E - Participant Information Sheet (1).docx Supplementary Document Uploaded 2019-11-13 Available
Att. D - Example of an Interview Guide (1).docx Supplementary Document Uploaded 2019-11-13 Available
Att. C - Example of a Focus Group Discussion Guide (1).docx Supplementary Document Uploaded 2019-11-13 Available
Att. B - Published 60-day FRN.pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A7 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A6 - 42 CFR Part 34 (1).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A5 - Section 325 of the PHSA (1).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A4 - Section 212(a)(1)(A) of the INA (1).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A3 - 42 CFR 71 (1).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A2 - 42 CFR 70 (1).pdf Supplementary Document Uploaded 2019-11-13 Available
Att. A1 - Section 361 of the Public Health Service Act (42 USC 264) (1).pdf Supplementary Document Uploaded 2019-11-13 Available
SSB_Migrant Health Generic_Qualitative Final.docx Supporting Statement B Uploaded 2019-11-13 Available
SSA_Migrant Health Generic_Qualitative_FINAL v2 HHS edit.docx Supporting Statement A Uploaded 2019-11-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved 01/31/2020
1,650 0 1,650
1,350 0 1,350
0 0 0






table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,650 1,650 0 0 0 0
Annual Time Burden (Hours) 1,350 1,350 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No