Document Name Document Type
Form RR-01 Emergency Repatriation Eligibility Application Form and Instruction
RR-01 Emergency Repatriation Eligibility Application RR-01 Emergency Repatriation Eligibility Application (3).docx Form and Instruction
RR-01 Emergency Repatriation Eligibility Application RR-01 Emergency Repatriation Eligibility Application (3).docx Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Arabic RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Arabic RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - French RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - French RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Russian RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Russian RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Simplif RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Simplif RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Spanish RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Spanish RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Traditi RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf Form and Instruction
RR-01 Emergency Repatriation Eligibility Application - Traditi RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Repatriation Eligibility 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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application	RR-01 Emergency Repatriation Eligibility Application (3).docx	Yes	Yes	Fillable Printable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Arabic	RR-01 Emergency Repatriation Eligibility Application - STANDARD_ar 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - French	RR-01 Emergency Repatriation Eligibility Application - STANDARD_fr 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Russian	RR-01 Emergency Repatriation Eligibility Application - STANDARD_ru 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Simplified Chinese	RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_cn 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Spanish	RR-01 Emergency Repatriation Eligibility Application - STANDARD_es_508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-01	Emergency Repatriation Eligibility Application - Traditional Chinese	RR-01 Emergency Repatriation Eligibility Application - STANDARD_zh_hk 508.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OHSEPR Repatriation and Disaster Human Services Case Management Records 09–80–0389	FR Citation: 88 FR 63109

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

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.

Emergency Repatriation Eligibility Application

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218653

View Information Collection (IC)