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Refugee Health Promotion Data Indicators
Generic Performance Progress Report
OMB: 0970-0490
IC ID: 238821
OMB.report
HHS/ACF
OMB 0970-0490
ICR 202006-0970-002
IC 238821
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:
2024-10-15 - No material or nonsubstantive change to a currently approved collection
2024-04-12 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Refugee Health Promotion Data Indicators
Form
RHP Data Indicator Form User Guide.pdf
Instruction
1 RHP Program Data Indicators Form
RHP Program Data Indicators Form.pdf
Form
RHP_Template for PPR Gen IC.doc
Generic PPR Submission Form - RHP Program Data Indicators
IC Document
NOA - ORR RHP Data Indicators_0970-0490_1.31.2018.pdf
NOA - RHP Data Indicators
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Refugee Health Promotion Data Indicators
Agency IC Tracking Number:
ORR
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
RHP Program Data Indicators Form
RHP Program Data Indicators Form.pdf
Yes
Yes
Fillable Fileable
Instruction
RHP Data Indicator Form User Guide.pdf
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:
41
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, 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
41
0
0
0
0
41
Annual IC Time Burden (Hours)
123
0
0
0
0
123
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic PPR Submission Form - RHP Program Data Indicators
RHP_Template for PPR Gen IC.doc
12/09/2019
NOA - RHP Data Indicators
NOA - ORR RHP Data Indicators_0970-0490_1.31.2018.pdf
12/09/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.