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ICR
View Information Collection (IC)
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
40
0
0
0
0
40
Annual IC Time Burden (Hours)
20
0
0
0
0
20
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (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.