Information Collection

Survey Instrument

IC 9803 under ICR 200906-0970-004 · OMB 0970-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0033 can be found here:

Documents and Forms

Document Name Document Type
Form ORR-9 Survey Instrument Form
ORR-9 Questinnaire for Annual Survey of Refugees Annual Survey of Refugees Questionnaire - English.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 4 CFR 45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORR-9	Questinnaire for Annual Survey of Refugees	Annual Survey of Refugees Questionnaire - English.pdf		No	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	637	1,363
Annual IC Time Burden (Hours)	1,253	231	1,022
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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