Information Collection

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

IC 262710 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⚠️ Notice: This information collection may be referencing outdated material.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
SASIC Pre Monitoring Questionnaire_FY24 draft_fnl.docx	Other-Questionnaire
SASIC Pre Monitoring Questionnaire_FY24 draft_fnl.docx	Other-Questionnaire
CORR_Notification Letter_Pre-Mon Doc Request SASIC_FY24.docx	Instruction
CORR_Notification Letter_Pre-Mon Doc Request SASIC_FY24.docx	Instruction
SASIC PMQ_Monitoring GenIC _0970-0558_fnl.docx Monitoring GenIC - SASIC PMQ	IC Document
SASIC PMQ_Monitoring GenIC _0970-0558_fnl.docx Monitoring GenIC - SASIC PMQ	IC Document
NOA_SASIC PMQ Monitoring GenIC_0970-0558_10.3.23.pdf NOA - SASIC PMQ	IC Document
NOA_SASIC PMQ Monitoring GenIC_0970-0558_10.3.23.pdf NOA - SASIC PMQ	IC Document

IC Title:

Office of Refugee Resettlement Services to Afghan Survivors of Combat (SASIC) Program Notification Letter and 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			SASIC Pre Monitoring Questionnaire_FY24 draft_fnl.docx		Yes	Yes	Fillable Fileable
Instruction			CORR_Notification Letter_Pre-Mon Doc Request SASIC_FY24.docx		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
	Requested	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	SASIC PMQ_Monitoring GenIC _0970-0558_fnl.docx	10/05/2023
NOA - SASIC PMQ	NOA_SASIC PMQ Monitoring GenIC_0970-0558_10.3.23.pdf	10/05/2023

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