U.S. Repatriation Program Forms

ICR 202204-0970-004

OMB: 0970-0474

Federal Form Document

ICR Details
0970-0474 202204-0970-004
Received in OIRA 201903-0970-002
HHS/ACF OHSEPR
U.S. Repatriation Program Forms
Revision of a currently approved collection   No
Regular 04/12/2022
  Requested Previously Approved
36 Months From Approved 04/30/2022
2,535 51,524
802 9,204
0 0

This information collection allows OHSEPR to fulfill its statutory responsibilities to provide temporary assistance to repatriates. OHSEPR uses this information collection to conduct both emergency and routine repatriation. These forms allow OHSEPR to conduct Program operations regarding: 1) determining a repatriate’s eligibility for temporary assistance 2) granting extensions for temporary assistance beyond the 90-day eligibility period 3) collecting repatriation loans from repatriates and to grant loan waivers and deferrals 4) reimbursing states and service providers for temporary assistance provided to eligible repatriates and 5) pre-approving states’ costs for emergency repatriation. OHSEPR made changes to all eight forms to ensure the information collected aligns with Program statutes and regulations as well as the purpose and use of the form. Revisions include clarifying statutory authority and general instructions on completing and submitting the forms. These changes make the forms more user friendly. OHSEPR also reduced the burden estimates to make them more accurate.

US Code: 24 USC 321-329 Name of Law: Hospitals and Asylums
   EO: EO 12656 Name/Subject of EO: Assignment of Emergency Preparedness Responsibilities
   US Code: 42 USC 1313 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  87 FR 6569 02/04/2022
87 FR 21662 04/12/2022
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,535 51,524 0 -48,989 0 0
Annual Time Burden (Hours) 802 9,204 0 -8,402 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
OHSEPR made changes to all eight forms and adjusted the burden and cost estimates to make them more accurate, based on current numbers and experiences to-date. See section A12 of the Supporting Statement for information about updates to burden estimates. In addition to updates to burden estimates as described in the Supporting Statement, the forms were uploaded in order for this submission and as such, some of the changes to burden on IC lines with ROCIS are due to shifting the order of entries.

$188,568
No
    Yes
    Yes
No
No
No
No
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/12/2022


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