View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	United for Ukraine	Agency IC Tracking Number:	ORR

IC Status: New

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
Other-Survey			U4U Survey Final.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	800	0	800	0	0	0
Annual IC Time Burden (Hours)	136	0	136	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx	02/28/2023
Supporting Statement B	SSB Formative for ACF Program Support U4U survey 2-27-23.docx	02/28/2023

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