NOA - RHP Data Indicators

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

01/31/2018

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Beth Killoran

FOR CLEARANCE OFFICER:

Darius Taylor

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
01/23/2018
ACTION REQUESTED: Generic IC
Refugee Health Promotion Data Indicators
IC TITLE:
ICR REFERENCE NUMBER:

201703-0970-007

AGENCY ICR TRACKING NUMBER:
TITLE:

OPRE

Generic Performance Progress Report

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0490

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 01/31/2020

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

4,000

4,000

0

New

4,000

4,000

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title
Refugee Health
Promotion Data
Indicators
Office of Refuge
Resettlement Refugee
Family Child Care
Microenterprise
Program Performance
Data
Survivors of Torture
Program Data Points
Preferred Communities
Program Data Points
Refugee Individual
Development Accounts
(IDA) Program
Indicators
Refugee Health
Promotion Data
Indicators

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp

1

RHP Program Data
Indicators Form

123 / 0 / 41

1

RFCCMED Performance
Data Form

48 / 0 / 24

1

SOT Program Data Points

170 / 0 / 34

1

PC Program Data Points

135 / 0 / 27

1

Refugee IDA Program
Indicators

160 / 0 / 80

1, 1

RHP Program Data
Indicators Form, RHP
Data Indicator Form User
Guide
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

123 / 0 / 41

759