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Form RR-04 Routine Repatriation Reimbursement Request
U.S. Repatriation Program Forms
RR-04 Routine Repatriation Reimbursement Request (1)
Routine Repatriation Reimbursement Request
OMB: 0970-0474
OMB.report
HHS/ACF
OMB 0970-0474
ICR 202304-0970-011
IC 218656
Form RR-04 Routine Repatriation Reimbursement Request
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0970-0474 can be found here:
2023-11-27 - Revision of a currently approved collection
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