Information Collection

Office of Refugee Resettlement Services to Afghan Survivors of Combat Program Notification Letter and Pre-Monitoring Questionnaire

IC 262630 under ICR 202307-0970-014 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SASIC PMQ Office of Refugee Resettlement Services to Afghan Survivors of Combat Program Notification Letter and Pre-Monitoring Questionnaire	Form and Instruction
CORR_Notification Letter_Pre-Mon Doc Request SASIC_FY24.docx	Instruction
1 SASIC PMQ SASIC Pre Monitoring Questionnaire_FY24 draft_fnl.docx	Form and Instruction
SASIC PMQ_Monitoring GenIC _0970-0558_fnl.docx Monitoring GenIC - SASIC PMQ	IC Document

IC Title:

Office of Refugee Resettlement Services to Afghan Survivors of Combat Program Notification Letter and Pre-Monitoring Questionnaire

Agency IC Tracking Number:

ORR

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form and Instruction	1				Yes	Yes	Fillable Printable
Instruction					Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - SASIC PMQ		10/03/2023

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

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