Information Collection

Non-emergency Monthly Financial Statement Form

IC 218657 under ICR 201510-0970-006 · OMB 0970-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Non-emergency Monthly Financial Statement Form	Form and Instruction
1 Non-emergency Monthly Financial Statement Form HHS Repatriation Program - Non-emegrency Monthly Financial Statement Form.doc	Form and Instruction

IC Title:

Non-emergency Monthly Financial Statement Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Non-emergency Monthly Financial Statement Form	HHS Repatriation Program - Non-emegrency Monthly Financial Statement Form.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	624	624
Annual IC Time Burden (Hours)	187	187
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.