Information Collection

Refugee Outreach and Well-Being Initiative (ROWI)

IC 279272 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ROWI Questionnaire June 2026 Updated 6.24.26.docx	Other-Phone Qs
ROWI Contact Follow Up.docx	Other-Contact Info Form
Formative for ACF Program Support_ROWI_RPB_cln_ACF Final.docx Prog Supp GenIC - Refugee Outreach and Well-Being Initiative (ROWI)	IC Document
NonSub Change Request_ROWI GenIC_0970-0531.docx Change Request - ROWI (Inc Respondents and Add Contact Info Form)	IC Document

IC Title:

Agency IC Tracking Number:

ORR-Ref

IC Status: Modified

Obligation to Respond: Voluntary

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-Phone Qs					Yes	Yes	Printable Only
Other-Contact Info Form					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: 6,787

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,787	6,787
Annual IC Time Burden (Hours)	3,937	3,937
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Prog Supp GenIC - Refugee Outreach and Well-Being Initiative (ROWI)		06/25/2026
Change Request - ROWI (Inc Respondents and Add Contact Info Form)		06/25/2026

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

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