Program Staff Questionnaires (Form M-11A-K) - Respondents

Monitoring and Compliance for Office of Refugee Resettlement (ORR) Care Provider Facilities

OMB: 0970-0564

IC ID: 245604

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0564 can be found here:

2024-03-22 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form Form M-11A Program Staff Questionnaires (Form M-11A-K) - Respondents Form and Instruction
Form M-11A Program Director Questionnaire Program Director Questionnaire (Form M-11A).docx Form and Instruction
Form M-11B LTFC Program Director Questionnaire LTFC Program Director Questionnaire (Form M-11B).docx Form and Instruction
Form M-11C Clinician Questionnaire Clinician Questionnaire (Form M-11C).docx Form and Instruction
Form M-11D LTFC Clinician Questionnaire LTFC Clinician Questionnaire (Form M-11D).docx Form and Instruction
Form M-11E Case Manager Questionnaire Case Manager Questionnaire (Form M-11E).docx Form and Instruction
Form M-11F LTFC Case Manager Questionnaire LTFC Case Manager Questionnaire (Form M-11F).docx Form and Instruction
Form M-11G Education Staff Questionnaire Education Staff Questionnaire (Form M-11G).docx Form and Instruction
Form M-11H LTFC Educational Staff Questionnaire LTFC Educational Staff Questionnaire (Form M-11H).docx Form and Instruction
Form M-11I Medical Coordinator Questionnaire Medical Coordinator Questionnaire (Form M-11I).docx Form and Instruction
Form M-11J Youth Care Worker Questionnaire Youth Care Worker Questionnaire (Form M-11J).docx Form and Instruction
Form M-11K PSA Compliance Manager Questionnaire PSA Compliance Manager Questionnaire (Form M-11K).docx Form and Instruction

Information Collection (IC) Details

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