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Federal forms, ICRs, and supporting documents

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.

Documents and Forms
Document Name
Document Type
Other-Interest Form
Other-Interest Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interest Form Repatriation Interest Form_HantaVirus_clean2.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

30 0
   
Individuals or Households
 
   100 %

  Requested 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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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 ACF Program Supporting Statement Potential Support Interest Form_HantaVirius_May2026update_cln.docx 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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