Information Collection Request

U.S. Repatriation Program Forms

ICR 202304-0970-011 · OMB 0970-0474 · Active

⚠️ Notice: This information collection may be outdated.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

2026-02-17 - No material or nonsubstantive change to a currently approved collection
2025-02-13 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form RR-08 Emergency Repatriation Request for Cost Approval and Federal Support	Form and Instruction	Modified	Available
Form RR-08 Emergency Repatriation Request for Cost Approval and Federal Support	Form and Instruction	Modified	Repair queued
Form RR-07 Temporary Assistance Extension Request	Form and Instruction	Modified	Repair queued
Form RR-07 Temporary Assistance Extension Request	Form and Instruction	Modified	Repair queued
Form RR-06 Refusal of Temporary Assistance	Form and Instruction	Modified	Repair queued
Form RR-06 Refusal of Temporary Assistance	Form and Instruction	Modified	Repair queued
Form RR-05 Repatriation Repayment and Privacy Agreement	Form and Instruction	Modified	Available
Form RR-05 Repatriation Repayment and Privacy Agreement	Form and Instruction	Modified	Repair queued
Form RR-04 Routine Repatriation Reimbursement Request	Form and Instruction	Modified	Available
Form RR-04 Routine Repatriation Reimbursement Request	Form and Instruction	Modified	Repair queued
Form RR-03 Loan Waiver and Deferral Application	Form and Instruction	Modified	Available
Form RR-03 Loan Waiver and Deferral Application	Form and Instruction	Modified	Repair queued
Form RR-02 Emergency Repatriation Reimbursement Request	Form and Instruction	Modified	Available
Form RR-02 Emergency Repatriation Reimbursement Request	Form and Instruction	Modified	Repair queued
Form RR-01 Emergency Repatriation Eligibility Application	Form and Instruction	Modified	Available
Form RR-01 Emergency Repatriation Eligibility Application	Form and Instruction	Modified	Repair queued
NonSub Change Request - Translations - 28 April 2023_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-28	Available
NonSub Change Request - Translations - 28 April 2023_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-28	Repair queued
Supporting Statement A - OHSEPR Repatriation Revision v3.docx	Supporting Statement A	Uploaded 2022-04-07	Available
Supporting Statement A - OHSEPR Repatriation Revision v3.docx	Supporting Statement A	Uploaded 2022-04-07	Repair queued

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
218660	Emergency Repatriation Request for Cost Approval and Federal Support	Form and Instruction	Modified
218660	Emergency Repatriation Request for Cost Approval and Federal Support	Form and Instruction	Modified
218659	Temporary Assistance Extension Request	Form and Instruction	Modified
218659	Temporary Assistance Extension Request	Form and Instruction	Modified
218658	Refusal of Temporary Assistance	Form and Instruction	Modified
218658	Refusal of Temporary Assistance	Form and Instruction	Modified
218657	Repatriation Repayment and Privacy Agreement	Form and Instruction	Modified
218657	Repatriation Repayment and Privacy Agreement	Form and Instruction	Modified
218656	Routine Repatriation Reimbursement Request	Form and Instruction	Modified
218656	Routine Repatriation Reimbursement Request	Form and Instruction	Modified
218655	Loan Waiver and Deferral Application	Form and Instruction	Modified
218655	Loan Waiver and Deferral Application	Form and Instruction	Modified
218654	Emergency Repatriation Reimbursement Request	Form and Instruction	Modified
218654	Emergency Repatriation Reimbursement Request	Form and Instruction	Modified
218653	Emergency Repatriation Eligibility Application	Form and Instruction	Modified
218653	Emergency Repatriation Eligibility Application	Form and Instruction	Modified

ICR Details

Record metadata
Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0474
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202204-0970-004
Agency Tracking No	OHSEPR
Date Submitted to OIRA	2023-05-01
Requested Expiration Date	1969-12-31