Crisis Assistance Request Form - Ukraine

Crisis Assistance Request Form - Ukraine

OMB: 1405-0248

IC ID: 251891

Information Collection (IC) Details

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Crisis Assistance Request Form - Ukraine
 
No New
 
Voluntary
 
5 CFR 1320.13

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Ukraine Crisis Intake Form Ukraine Crisis Intake Form (screenshot).docx https://cacms.state.gov/s/crisis-intake Yes Yes Fillable Fileable

Homeland Security Border and Transportation Security

 

7,000 0
   
Individuals or Households
 
   100 %

  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 7,000 0 7,000 0 0 0
Annual IC Time Burden (Hours) 583 0 583 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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