Emergency Repatriation Eligibility Application

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218653

Information Collection (IC) Details

View Information Collection (IC)

Emergency Repatriation Eligibility Application
 
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 Emergency Repatriation Eligibility Application RR-01 Emergency Repatriation Eligibility Application (3).docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

1,000 0
   
Individuals or Households
 
   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 1,000 0 -24,000 0 0 25,000
Annual IC Time Burden (Hours) 500 0 -7,000 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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