OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Repatriation/Emergency Medical and Dietary Assistance Loan Application

OMB 1405-0150 · STATE/AFA.

OMB 1405-0150

The DS-3072 is an application for an emergency loan for a destitute U.S. citizen and/or dependent to return to the United States, an application for a destitute U.S. citizen abroad to receive emergency medical and dietary assistance and an application for a U.S. citizen and/or dependent and a third country or host country national to receive a loan to assist in his or her repatriation to the United States and/or to provide them with the funds needed to address their emergency medical and/or dietary needs.

The latest form for Repatriation/Emergency Medical and Dietary Assistance Loan Application expires 2027-06-30 and is listed under ICR 202509-1405-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Old DS-3072 Repatriation/ Emergency Medical and Dietary Assistance Loan ApplicationForm and Instruction
Form DS-302 Repatriation/ Emergency Medical and Dietary Assistance Loan ApplicationForm and Instruction
Form DS-302 Repatriation/Emergency Medical and Dietary Assistance Loan ApplicationForm and Instruction
Form DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan Application MS FormForm and Instruction
Form DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan ApplicationForm and Instruction
Form DS-3072 REPATRIATION / EMERGENCY MEDICAL AND DIETARY ASSISTANCE LOAN APPLICATIONForm and Instruction
Form DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan ApplicationForm and Instruction
Justification for Change to DS 3072 - 1405-0150.docxJustification for No Material/Nonsubstantive Change
Justification for Change to DS 3072 - 1405-0150.docx Justification for No Material/Nonsubstantive Change
MS Forms DS-3072 Screenshots.docxJustification for No Material/Nonsubstantive Change
MS Forms DS-3072 Screenshots.docx Justification for No Material/Nonsubstantive Change
Justification for Non-substantive change.docxJustification for No Material/Nonsubstantive Change
Justification for Non-substantive change.docx Justification for No Material/Nonsubstantive Change
Privacy Act Statement Changes-easy to read.docxSupplementary Document
2024 04 03 856 am Answers to OIRA 2020 Questions DS 3072 Supporting Statement CLEAN NO COMMENTS.docxSupplementary Document
2024 04 03 856 am Answers to OIRA 2020 Questions DS 3072 Supporting Statement CLEAN NO COMMENTS.docx Supplementary Document
DS-3072 Legal Authorities.docSupplementary Document
DS-3072 Legal Authorities.doc Supplementary Document
2024 04 03 901 AM DS-3072 Supporting Statement 2020 doc Revised Clean Version NO L COMMENTS OR EDITS.docxSupporting Statement A
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction
Repatriation/Emergency Medical and Dietary Assistance Loan Application Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202509-1405-004 No material or nonsubstantive change to a currently approved collection 2025-09-18
202507-1405-001 No material or nonsubstantive change to a currently approved collection 2025-07-01
202406-1405-004 No material or nonsubstantive change to a currently approved collection 2024-06-13 Approved without change
202404-1405-003 Reinstatement without change of a previously approved collection 2024-04-15 Approved without change
202007-1405-004 Revision of a currently approved collection 2020-07-31
201906-1405-002 No material or nonsubstantive change to a currently approved collection 2019-06-26 Approved without change
201706-1405-005 Extension without change of a currently approved collection 2017-06-30 Approved without change
201504-1405-002 Extension without change of a currently approved collection 2015-04-14 Approved with change
201305-1405-001 Revision of a currently approved collection 2013-05-13 Approved with change
201005-1405-005 Extension without change of a currently approved collection 2010-05-13 Approved without change
201003-1405-001 Revision of a currently approved collection 2010-03-01 Withdrawn and continue
200811-1405-002 No material or nonsubstantive change to a currently approved collection 2008-11-17 Approved without change
200702-1405-001 Revision of a currently approved collection 2007-02-12 Approved without change
200309-1405-007 Extension without change of a currently approved collection 2003-09-30 Approved without change
200303-1405-001 Existing collection in use without an OMB Control Number 2003-03-21 Approved without change

OMB Details

Repatriation/Emergency Medical and Dietary Assistance Loan Application

Federal Enterprise Architecture: International Affairs and Commerce - Foreign Affairs

Information collection instruments
FormNameElectronic accessType
Form DS-3072REPATRIATION / EMERGENCY MEDICAL AND DIETARY ASSISTANCE LOAN APPLICATIONFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.