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Federal forms, ICRs, and supporting documents

Information Collection

Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guide

IC 270267 under ICR 202408-0970-005 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Interview
Other-Questionnaire
Other-Focus Group Protocol
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guide
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview QUEST_RHP SRHC Interview.docx Yes Yes Printable Only
Other-Questionnaire QUEST_RHP Client Questionnaire.docx Yes Yes Printable Only
Other-Focus Group Protocol QUEST_RHP Local Provider Guide.docx Yes Yes Printable Only

Community and Social Services Social Services

 

85 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 85 0 85 0 0 0
Annual IC Time Burden (Hours) 85 0 85 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guides SSA_RSS Set Asides Assessment_Formative Prog Support_RHP_8.20.2024_updated.docx 08/20/2024
Consent Form - RSS RHP Set-Aside Programs Assessment Guide Letter_RHP Client Invitation and Consent_ENGLISH.docx 08/20/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.