Information Collection Request

U. S. Repatriation Program Forms

ICR 201510-0970-006 · OMB 0970-0474 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Temporary Assistance Extension Request Form Form and Instruction New Repair queued
Form 1 State Request for Federal Support Form and Instruction New Repair queued
Form 1 Loan Waiver and Deferral Request Form Form and Instruction New Available
Form 1 Non-emergency Monthly Financial Statement Form Form and Instruction New Available
Form 1 Emergency and Group Repatriation Form and Instruction New Available
Form 1 Refusal of Temporary Assistance Form and Instruction New Available
Form 1 Privacy and Repayment Agreement Form and Instruction New Repair queued
Form 1 Emergency and Group Processing Form and Instruction New Available
Repatriation Program and Supporting Statement OMB.doc Supporting Statement A Uploaded 2016-02-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
218660 Temporary Assistance Extension Request Form Form and Instruction New
218659 State Request for Federal Support Form and Instruction New
218658 Loan Waiver and Deferral Request Form Form and Instruction New
218657 Non-emergency Monthly Financial Statement Form Form and Instruction New
218656 Emergency and Group Repatriation Form and Instruction New
218655 Refusal of Temporary Assistance Form and Instruction New
218654 Privacy and Repayment Agreement Form and Instruction New
218653 Emergency and Group Processing Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved
51,524 0 0
9,204 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 51,524 0 0 51,524 0 0
Annual Time Burden (Hours) 9,204 0 0 9,204 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No