Repatriation Repayment and Privacy Agreement

U.S. Repatriation Program Forms

OMB: 0970-0474

IC ID: 218657

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)

Repatriation Repayment and Privacy Agreement
 
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-05 Repatriation Repayment and Privacy Agreement RR-05 Repatriation Repayment and Privacy Agreement (2).docx Yes Yes Fillable Printable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - Arabic RR-05 Repatriation Repayment and Privacy Agreement - STANDARD_ar 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - French RR-05 Repatriation Repayment and Privacy Agreement - STANDARD_fr 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - Russian RR-05 Repatriation Repayment and Privacy Agreement - STANDARD_ru 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - Simplified Chinese RR-05 Repatriation Repayment and Privacy Agreement - STANDARD_zh_cn 508.pdf Yes Yes Fillable Fileable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - Spanish RR-05 Repatriation Repayment and Privacy Agreement - STANDARD_es_508pdf.pdf Yes Yes Fillable Fileable
Form and Instruction RR-05 Repatriation Repayment and Privacy Agreement - Traditional Chinese RR-05 Repatriation Repayment and Privacy Agreement - 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

800 0
   
Individuals or Households
 
   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 800 0 0 0 0 800
Annual IC Time Burden (Hours) 136 0 0 0 0 136
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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