Information Collection

Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home Due to HantaVirus

IC 280377 under ICR 202606-0970-001 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Repatriation Interest Form_HantaVirus_clean2.docx	Other-Interest Form
Repatriation Interest Form_HantaVirus_clean2.docx	Other-Interest Form
ACF Program Supporting Statement Potential Support Interest Form_HantaVirius_May2026update_cln.docx SSA ProgSupp GenIC - Potential Support Interest Form \| U.S. Repatriation Program Services for U.S. Citizens Returning Home Due t	IC Document
ACF Program Supporting Statement Potential Support Interest Form_HantaVirius_May2026update_cln.docx SSA ProgSupp GenIC - Potential Support Interest Form \| U.S. Repatriation Program Services for U.S. Citizens Returning Home Due t	IC Document

IC Title:

Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home Due to HantaVirus

Agency IC Tracking Number:

OHSEPR

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Interest Form					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA ProgSupp GenIC - Potential Support Interest Form \| U.S. Repatriation Program Services for U.S. Citizens Returning Home Due to HantaVirus		05/08/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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