Information Collection

[NCEZID] Evaluation of communication between CDC and Association of Refugee Health Coordinators (ARHC) partners during responses in 2021-2022

IC 258090 under ICR 202402-0920-010 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 Survey Invitation.docx	Instruction
0920-1071 Interview Consent and Questionnaire Attachment 2 Interview Questions.docx	Form and Instruction
0920-1071 Evaluation of Communication between Immigrant, Refugee M Attachment 3 Data Collection Tool.xlsx	Form
Service Delivery Fast Track-Evaluation of Communication between CDC and ARHC partners.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105	IC Document
Human Subjects Determination.pdf Human Subjects Determination	IC Document
Project Protocol.docx Project Protocol	IC Document

IC Title:

[NCEZID] Evaluation of communication between CDC and Association of Refugee Health Coordinators (ARHC) partners during responses in 2021-2022

Agency IC Tracking Number:

0920-1071-23CI

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment 1 Survey Invitation.docx	Yes	Yes	Printable Only
Form and Instruction	0920-1071	Interview Consent and Questionnaire	Attachment 2 Interview Questions.docx	No		Fillable Fileable
Form	0920-1071	Evaluation of Communication between Immigrant, Refugee Migrant Health Branch at CDC and ARHC partners during responses in 2020-2022	Attachment 3 Data Collection Tool.xlsx	No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the âGeneric Clearance for the Collection of Routine Customer Feedbackâ (OMB Control Number: 0920-1050)	Service Delivery Fast Track-Evaluation of Communication between CDC and ARHC partners.docx	02/02/2023
Human Subjects Determination	Human Subjects Determination.pdf	02/02/2023
Project Protocol	Project Protocol.docx	02/02/2023

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