Information Collection

State Emergency and Routine Repatriation Insight Survey

IC 278700 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
JAN2026_State Emergency and Routine Repatriation Insight Survey.docx	Other-Survey
JAN_2026ACF Program Supporting Statement State Emergency and Routine Repatriation Insight Survey_fnl.docx SSA Prog Supp GenIC - State Emergency and Routine Repatriation Insight Survey	IC Document

IC Title:

Agency IC Tracking Number:

OHSEPR

IC Status: Modified

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-Survey					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: 114

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	114	114
Annual IC Time Burden (Hours)	114	114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - State Emergency and Routine Repatriation Insight Survey		01/09/2026

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

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