Information Collection

Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ)

IC 262705 under ICR 202310-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
QUEST_DRS ECSH Pre-Monitoring Questionnaire_.docx	Other-Questionnaire
QUEST_DRS ECSH Pre-Monitoring Questionnaire_.docx	Other-Questionnaire
Submission Template for Monitoring Generic _0970-0558 ECSH 7.26_fnl.docx Monitoring GenIC - ECSH PMQ	IC Document
Submission Template for Monitoring Generic _0970-0558 ECSH 7.26_fnl.docx Monitoring GenIC - ECSH PMQ	IC Document
NOA_ECSH PMQ_Monitoring GenIC_0970-0558_7.28.23.pdf NOA - ECSH PMQ	IC Document
NOA_ECSH PMQ_Monitoring GenIC_0970-0558_7.28.23.pdf NOA - ECSH PMQ	IC Document

IC Title:

Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ)

Agency IC Tracking Number:

ORR - Ref

IC Status: New

Obligation to Respond: Mandatory

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
Other-Questionnaire			QUEST_DRS ECSH Pre-Monitoring Questionnaire_.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 87

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	87	87
Annual IC Time Burden (Hours)	1,740	1,740
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - ECSH PMQ	Submission Template for Monitoring Generic _0970-0558 ECSH 7.26_fnl.docx	10/05/2023
NOA - ECSH PMQ	NOA_ECSH PMQ_Monitoring GenIC_0970-0558_7.28.23.pdf	10/05/2023

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