OMB
.report
Search
Repatriation/Emergency Medical and Dietary Assistance Loan Application
Repatriation/Emergency Medical and Dietary Assistance Loan Application
OMB: 1405-0150
IC ID: 15037
OMB.report
STATE/AFA
OMB 1405-0150
ICR 202406-1405-004
IC 15037
( )
Documents and Forms
Document Name
Document Type
Form DS-3072
Repatriation/Emergency Medical and Dietary Assistance Loan Application
Form and Instruction
Form DS-3072
Repatriation/Emergency Medical and Dietary Assistance Loan Application
Form and Instruction
DS-3072 REPATRIATION / EMERGENCY MEDICAL AND DIETARY ASSISTANCE
ds3072 - DRAFT - 06-06-2024.pdf
Form and Instruction
DS-3072 REPATRIATION / EMERGENCY MEDICAL AND DIETARY ASSISTANCE
ds3072 - DRAFT - 06-06-2024.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Repatriation/Emergency Medical and Dietary Assistance Loan Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
22 CFR 71
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-3072
REPATRIATION / EMERGENCY MEDICAL AND DIETARY ASSISTANCE LOAN APPLICATION
ds3072 - DRAFT - 06-06-2024.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Foreign Affairs
Privacy Act System of Records
Title:
REPATRIATION/EMERGENCY MEDICAL AND DIETARY ASSISTANCE LOAN APPLICATION
FR Citation:
85 FR 46207
Number of Respondents:
1,459
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
1,459
0
0
0
0
1,459
Annual IC Time Burden (Hours)
486
0
0
0
0
486
Annual IC Cost Burden (Dollars)
38,830
0
0
0
0
38,830
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.