Refusal of Temporary Assistance

U.S. Repatriation Program Forms

Documents and Forms

Document Name Document Type
Form RR-06 Refusal of Temporary Assistance Form and Instruction
RR-06 Refusal of Temporary Assistance RR-06 Refusal of Temporary Assistance (1).docx Form and Instruction
RR-06 Refusal of Temporary Assistance - Arabic RR-06 Refusal of Temporary Assistance - STANDARD_ar 508.pdf Form and Instruction
RR-06 Refusal of Temporary Assistance - French RR-06 Refusal of Temporary Assistance - STANDARD_fr 508.pdf Form and Instruction
RR-06 Refusal of Temporary Assistance - Russian RR-06 Refusal of Temporary Assistance - STANDARD_ru 508.pdf Form and Instruction
RR-06 Refusal of Temporary Assistance - Simplified Chinese RR-06 Refusal of Temporary Assistance - STANDARD_zh_cn 508.pdf Form and Instruction
RR-06 Refusal of Temporary Assistance - Spanish RR-06 Refusal of Temporary Assistance - STANDARD_es_508.pdf Form and Instruction
RR-06 Refusal of Temporary Assistance - Traditional Chinese RR-06 Refusal of Temporary Assistance - STANDARD_zh_TW 508.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Refusal of Temporary Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-06	Refusal of Temporary Assistance	RR-06 Refusal of Temporary Assistance (1).docx	Yes	Yes	Fillable Printable
Form and Instruction	RR-06	Refusal of Temporary Assistance - Arabic	RR-06 Refusal of Temporary Assistance - STANDARD_ar 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-06	Refusal of Temporary Assistance - French	RR-06 Refusal of Temporary Assistance - STANDARD_fr 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-06	Refusal of Temporary Assistance - Russian	RR-06 Refusal of Temporary Assistance - STANDARD_ru 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-06	Refusal of Temporary Assistance - Simplified Chinese	RR-06 Refusal of Temporary Assistance - STANDARD_zh_cn 508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-06	Refusal of Temporary Assistance - Spanish	RR-06 Refusal of Temporary Assistance - STANDARD_es_508.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	RR-06	Refusal of Temporary Assistance - Traditional Chinese	RR-06 Refusal of Temporary Assistance - STANDARD_zh_TW 508.pdf	Yes	Yes	Fillable Fileable

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: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	15	15
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.