IMPACT, in collaboration with UNHCR, conducted a fourth-round Multi Sector Needs Assessment (MSNA IV) of Syrian, Iranian, and Turkish refugees to provide a household-level analysis of sector-specific needs and vulnerabilities in the Kurdistan Region of Iraq (KR-I). Building on the findings of previous MSNA, this study assessed any continued vulnerabilities. This assessment and its findings aimed to inform the development of the Regional Refugee & Resilience Plan (3RP) 2019-2020, as well as relevant programming within the different sectors.