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Services for Survivors of Torture Medical Care Survey
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 254590
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202212-0970-006
IC 254590
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-10-04 - No material or nonsubstantive change to a currently approved collection
2024-09-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
ORR-SOT Program_Medical Care Survey_2022_Final_OMB_clean.docx
Other-Survey
ORR-SOT Program_Medical Care Survey_2022_Final_OMB_clean.docx
Other-Survey
ORR-SOT Medical Care Survey SSA - Formative for ACF Program Support_6.28.22.docx
SSA - ORR SOT Medical Care Survey GenIC
IC Document
ORR-SOT Medical Care Survey SSA - Formative for ACF Program Support_6.28.22.docx
SSA - ORR SOT Medical Care Survey GenIC
IC Document
NOA_ORR SOT Form GenIC ProgSupp_0970-0531_7.6.22.pdf
NOA - ORR SOT Medical Care Survey GenIC
IC Document
NOA_ORR SOT Form GenIC ProgSupp_0970-0531_7.6.22.pdf
NOA - ORR SOT Medical Care Survey GenIC
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Services for Survivors of Torture Medical Care Survey
Agency IC Tracking Number:
ORR
IC Status:
Unchanged
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
Other-Survey
ORR-SOT Program_Medical Care Survey_2022_Final_OMB_clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
35
0
0
0
0
35
Annual IC Time Burden (Hours)
23
0
0
0
0
23
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - ORR SOT Medical Care Survey GenIC
ORR-SOT Medical Care Survey SSA - Formative for ACF Program Support_6.28.22.docx
07/11/2022
NOA - ORR SOT Medical Care Survey GenIC
NOA_ORR SOT Form GenIC ProgSupp_0970-0531_7.6.22.pdf
07/11/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.