Information Collection

Emergency Repatriation Eligibility Application

IC 218653 under ICR 202304-0970-011 · OMB 0970-0474.

⚠️ Notice: This information collection may be referencing outdated material. 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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RR-01 Emergency Repatriation Eligibility Application	Form and Instruction
Form RR-01 Emergency Repatriation Eligibility Application	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application RR-01 Emergency Repatriation Eligibility Application (3).docx	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application RR-01 Emergency Repatriation Eligibility Application (3).docx	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Arabic RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Arabic RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - French RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - French RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Russian RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Russian RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Simplif RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Simplif RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Spanish RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Spanish RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Traditi RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf	Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Traditi RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Emergency Repatriation Eligibility Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application	RR-01 Emergency Repatriation Eligibility Application (3).docx	Yes	Yes	Fillable Printable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Arabic	RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - French	RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Russian	RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Simplified Chinese	RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Spanish	RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Traditional Chinese	RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
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.