Notice2022-02374
Proposed Information Collection Activity; U.S. Repatriation Program Forms (OMB#: 0970-0474)
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
February 4, 2022
Issuing agencies
Health and Human Services DepartmentChildren and Families Administration
Abstract
The Administration for Children and Families (ACF) is requesting a 3-year extension of the U.S. Repatriation Program forms (OMB #0970-0474, expiration 4/30/2022). There are several changes requested to the eight forms. Burden estimates have also been updated.
Full Text
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<title>Federal Register, Volume 87 Issue 24 (Friday, February 4, 2022)</title>
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[Federal Register Volume 87, Number 24 (Friday, February 4, 2022)]
[Notices]
[Pages 6569-6571]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-02374]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; U.S. Repatriation
Program Forms (OMB#: 0970-0474)
AGENCY: Office of Human Services Emergency Preparedness and Response,
Administration for Children and Families, HHS.
ACTION: Request for public comment.
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SUMMARY: The Administration for Children and Families (ACF) is
requesting a 3-year extension of the U.S. Repatriation Program forms
(OMB #0970-0474, expiration 4/30/2022). There are several changes
requested to the eight forms. Burden estimates have also been updated.
DATES: Comments due within 60 days of publication. In compliance with
the requirements of the Paperwork Reduction Act of 1995, ACF is
soliciting public comment on the specific aspects of the information
collection described above.
ADDRESSES: You can obtain copies of the proposed collection of
information and submit comments by emailing <a href="/cdn-cgi/l/email-protection#aac3c4ccc5c9c5c6c6cfc9dec3c5c4eacbc9cc84c2c2d984cdc5dc"><span class="__cf_email__" data-cfemail="6c05020a030f030000090f180503022c0d0f0a4204041f420b031a">[email protected]</span></a>.
Identify all requests by the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: The purpose of the U.S. Repatriation Program (Program)
is to provide temporary assistance to eligible U.S. citizens and their
dependents (repatriates) returned by the Department of State from a
foreign country because of destitution, illness, war, threat of war, or
a similar crisis, and who are without available resources, or (2)
mental illness. Temporary assistance is provided upon their arrival in
the United States and is available initially for up to 90 days from a
repatriate's date of arrival in the United States. Temporary assistance
is provided in the form of a service loan and is repayable to the U.S.
Government.
Temporary assistance is defined in 42 U.S.C. 1313(c) as money
payments, medical care, temporary lodging, transportation, and other
goods and services necessary for the health or welfare of individuals,
including guidance, counseling, and other welfare services provided to
them within the United States upon their arrival in the United States.
Other goods and services may include clothes, food, assistance with
obtaining identification (driver's license, birth certificate), child
care, and translation services.
The ACF Office of Human Services Emergency Preparedness and
Response (OHSEPR), at the U.S. Department of Health and Human Services
(HHS), administers the Program.
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.
The following is a description of the forms and the proposed
revisions:
Emergency Repatriation Eligibility Application (Form RR-01)
The purpose of this form is for U.S. citizens and their dependents
to request temporary assistance during an emergency repatriation.
Proposed revisions include the following:
<bullet> Changing the title of the form from `Emergency and Group
Processing Form' to `Emergency Repatriation Eligibility Application'
<bullet> Adding the following information:
[cir] Date and time of applicant's entry and exit to the Emergency
Repatriation Center
[cir] Applicant's flight information
[cir] Name and contact information for responsible person (if main
U.S. citizen applicant is a minor)
[cir] Gender option (X) for applicant and dependents to align with
Department of State gender information on passports
[cir] Option for applicants and dependents to provide alternative
ID number (instead of passport number)
[cir] Needs assessment section to determine applicant's needs
[cir] Details about quantity of temporary assistance requested
[cir] Language to signatory block to specify the meaning of signing
the form
[cir] Materials/information provided to the repatriate
<bullet> Removing eligibility determination question regarding
availability of next of kin/friends to provide resources
Emergency Repatriation Reimbursement Request (Form RR-02)
The purpose of this form is for states to request reimbursement for
emergency repatriation expenditures. Proposed revisions include the
following:
<bullet> Changing the title of the form from `Emergency and Group
Repatriation Financial Form' to `Emergency Repatriation Reimbursement
Request'
<bullet> Modifying information about location of service provision
[[Page 6570]]
<bullet> Adding planning/training/exercise as a category for
reimbursement
<bullet> Clarifying instructions on documentation for allowable costs
Loan Waiver and Deferal Application (Form RR-03)
The purpose of this form is for repatriates to request a waiver or
deferral of their loan for temporary assistance received through the
U.S. Repatriation Program. Proposed revisions include the following:
<bullet> Changing the title of the form from `Repatriation Loan Waiver
and Deferral Request Form' to `Loan Waiver and Deferral Application'
<bullet> Separating fixed monthly expenses from loans and liabilities
<bullet> Adding the following information:
[cir] Repatriate's type of current housing
[cir] Employer's email address
[cir] Option for repatriate to include additional employment
[cir] Assets such as checking/savings accounts
[cir] Language to signatory block to specify the meaning of signing
this form
[cir] Name, relationship to repatriate, and contact information for
authorized representative
<bullet> Removing Social Security Number (SSN) for dependents
Routine Repatriation Reimbursement Request (Form RR-04)
The purpose of this form is for state and local service providers
to submit reimbursement requests for providing temporary assistance to
repatriates under the U.S. Repatriation Program. Proposed revisions
include the following:
<bullet> Changing the title of the form from `Non-Emergency Monthly
Financial Statement Form' to `Routine Repatriation Reimbursement
Request'
<bullet> Clarifying instructions on documentation for allowable costs
<bullet> Revising language on signatory block to specify the meaning of
signing this form
<bullet> Removing these items:
[cir] State or local provider's recommendation for waiver approval
[cir] SSN for dependents
Repatriation Repayment and Privacy Agreement (Form RR-05)
The purpose of this form is for repatriates to agree to accept
temporary assistance under the U.S. Repatriation Program, to agree to
repay HHS for temporary assistance, and to allow HHS to share personal
information for benefits purposes. Proposed revisions include the
following:
<bullet> Changing the title of the form from `Privacy and Repayment
Agreement Form' to `Repatriation Repayment and Privacy Agreement'
<bullet> Revising language on signatory block to specify the meaning of
signing the form
<bullet> Clarifying that the Privacy Act Statement applies to
Repatriation forms that collect personal identifiable information
<bullet> Adding voluntary demographic questions to align with Executive
Order 13985 (Advancing Racial Equity and Support for Underserved
Communities Through the Federal Government)
<bullet> Adding instructions on completing the form
Refusal of Temporary Assistance (Form RR-06)
The purpose of this form is for repatriates to refuse to accept
temporary assistance under the U.S. Repatriation Program after
receiving information about the Program. Proposed revisions include
adding the following:
<bullet> Instructions on completing the form
<bullet> The country the repatriate returned from
Temporary Assistance Extension Request (Form RR-07)
The purpose of this form is for repatriates to request an extension
of temporary assistance beyond the initial 90-day eligibility period.
Proposed revisions include the following:
<bullet> Removing these items:
[cir] SSN for dependents
[cir] ``other reasons'' as an option for justification of request
<bullet> Adding these items:
[cir] Authorized representative information
[cir] Sections on household income, fixed monthly expenses, and
loans and liabilities
[cir] Language on signatory block to specify meaning of signing
this form
Emergency Repatriation Request for Cost Approval and Federal Support
(Form RR-08)
The purpose of this form is for states to request pre-approval for
costs or federal support for an emergency repatriation. Proposed
revisions include the following:
<bullet> Changing the title of the form from `State Request for Federal
Support' to `Emergency Repatriation Request for Cost Approval and
Federal Support'
<bullet> Adding separate sections for description and justification of
cost pre-approvals and federal support requests
<bullet> Modifying section on Federal official's determination of
state's request
Respondents: States, territories, local social service providers,
administrative staff, repatriates, and authorized representatives of
repatriates.
Annual Burden Estimates
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Annual number Average burden
Instrument Total number of responses hours per Annual burden
of respondents per respondent response hours
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Emergency Repatriation Eligibility Application. 1,000 1 .5 500
Emergency Repatriation Reimbursement Request... 10 1 .3 3
Loan Waiver and Deferral Application........... 100 1 .5 50
Routine Repatriation Reimbursement Request..... 25 10 .3 75
Repatriation Repayment and Privacy Agreement... 800 1 .17 136
Refusal of Temporary Assistance................ 300 1 .05 15
Temporary Assistance and Extension Request..... 25 1 .3 8
Emergency Repatriation Request for Cost 5 10 .3 15
Approval and Federal Support..................
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Estimated Total Annual Burden Hours: 802.
Comments: The Department specifically requests comments on (a)
whether the proposed collection of information is necessary for the
proper performance of the functions of the agency, including whether
the
[[Page 6571]]
information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the proposed collection of
information; (c) the quality, utility, and clarity of the information
to be collected; and (d) ways to minimize the burden of the collection
of information on respondents, including through the use of automated
collection techniques or other forms of information technology.
Consideration will be given to comments and suggestions submitted
within 60 days of this publication.
Authority: 42 U.S.C. 1313, 24 U.S.C. 321-329.
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022-02374 Filed 2-3-22; 8:45 am]
BILLING CODE 4184-PL-P
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</html>Indexed from Federal Register on February 4, 2022.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.