Refusal of Temporary Assistance

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218655

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Refusal of Temporary Assistance
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Refusal of Temporary Assistance Form RR-06 Refusal of Temporary Assistance Form.doc Yes Yes Fillable Printable

Community and Social Services Social Services

 

15 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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