Emergency Repatriation Eligibility Application

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218653

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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 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

Community and Social Services Social Services

OHSEPR Repatriation and Disaster Human Services Case Management Records 09–80–0389   88 FR 63109

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 0 0 0 1,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
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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