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Federal forms, ICRs, and supporting documents

Information Collection

Repatriation/Emergency Medical and Dietary Assistance Loan Application

IC 276052 under ICR 202509-1405-004 · OMB 1405-0150.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form DS-3072
Repatriation/Emergency Medical and Dietary Assistance Loan Application		 Form and Instruction
Form DS-3072
Repatriation/Emergency Medical and Dietary Assistance Loan Application MS Form Repatriation/Emergency Medical and Dietary Assistance Loan Application		 Form and Instruction
DS-3072 Repatriation/Emergency Medical and Dietary Assistance Lo
MS Forms DS-3072 Screenshots.docx 		Form and Instruction
DS-3072 Repatriation/Emergency Medical and Dietary Assistance Lo
MS Forms DS-3072 Screenshots.docx 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DS-3072 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 0 0 0 -1,459 0 1,459
Annual IC Time Burden (Hours) 0 0 0 -486 0 486
Annual IC Cost Burden (Dollars) 0 0 0 -38,830 0 38,830

Documents for IC
table that charts IC Documents
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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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