Routine Repatriation Reimbursement Request

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218656

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Routine Repatriation Reimbursement Request
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RR-04 Routine Repatriation Reimbursement Request RR-04 Routine Repatriation Reimbursement Request (1).docx Yes Yes Fillable Printable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - Arabic RR-04 Routine Repatriation Reimbursement Request - STANDARD_ar 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - French RR-04 Routine Repatriation Reimbursement Request - STANDARD_fr 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - Russian RR-04 Routine Repatriation Reimbursement Request - STANDARD_ru 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - Simplified Chinese RR-04 Routine Repatriation Reimbursement Request - STANDARD_zh_cn 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - Spanish RR-04 Routine Repatriation Reimbursement Request - STANDARD_es_508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-04 Routine Repatriation Reimbursement Request - Traditional Chinese RR-04 Routine Repatriation Reimbursement Request - STANDARD_zh_TW 508.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

OHSEPR Repatriation and Disaster Human Services Case Management Records 09–80–0389  88 FR 63109

25 0
   
State, Local, and Tribal Governments
 
   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 250 0 0 0 0 250
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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