[Federal Register Volume 77, Number 129 (Thursday, July 5, 2012)]
[Notices]
[Pages 39709-39710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-16285]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Proposed Information Collection Activity; Comment Request

Proposed Projects

    Title: U.S. Repatriation Program Forms.
    OMB No.: 0970-NEW.
    Description: Description: The United States (U.S.) Repatriation 
Program was established by Title XI, Section 1113 of the Social 
Security Act (Assistance for U.S. Citizens Returned from Foreign 
Countries) to provide temporary assistance to U.S. citizens and their 
dependents who have been identified by the Department of State (DOS) as 
having returned, or been brought from a foreign country to the U.S. 
because of destitution, illness, war, threat of war, or a similar 
crisis, and are without available resources immediately accessible to 
meet their needs. The Secretary of the Department of Health and Human 
Services was provided with the authority to administer this Program. On 
or about 1994, this authority was delegated by the HHS Secretary to the 
Administration for Children and Families and later re-delegated to the 
Office of Refugee Resettlement. The Repatriation Program works with 
States, Federal agencies, and non-governmental organizations to provide 
eligible individuals with temporary assistance for up to 90-days. This 
assistance is in the form of a loan and must be repaid to the Federal 
Government.
    The Program was later expanded in response to legislation enacted 
by Congress to address the particular needs of persons with mental 
illness (24 U.S.C. 321 through 329). Further refinements occurred in 
response to Executive Order (EO) 11490 (as amended) where HHS was given 
the responsibility to ``develop plans and procedures for assistance at 
ports of entry to U.S. personnel evacuated from overseas areas, their 
onward movement to final destination, and follow-up assistance after 
arrival at final destination.'' In addition, under EO 12656 (53 CFR 
47491), ``Assignment of emergency preparedness responsibilities'', HHS 
was given the lead responsibility to develop plans and procedures in 
order to provide assistance to U.S. citizens or others evacuated from 
overseas areas.
    Overall, the Program manages two major activities, Emergency and 
Non-emergency Repatriation Activities. The ongoing routine arrivals of 
individual repatriates and the repatriation of individuals with mental 
illness constitute the Program Non-emergency activities. Emergency 
activities are comprised of group repatriations (evacuations of 50-500 
individuals) and emergency repatriations (evacuations of 500 or more 
individuals). Operationally, these activities involve different kinds 
of preparation, resources, and implementation. However, the core 
Program policies and administrative procedures are essentially the 
same.
    1. The U.S. Repatriation Program Emergency and Group Processing 
Form: Under 45 CFR parts 211 and 212, ORR is to make findings setting 
forth the pertinent facts and conclusions according to established 
standards to determine whether an individual is an eligible person. 
This form allows authorized staff to gather necessary information to 
determine eligibility and to identify the services that need to be 
provided. This form is to be utilized during emergencies and group 
repatriations. Individuals interested in receiving Repatriation 
assistance will complete appropriate portions of this form. State 
personnel will utilize this form as a guide to perform an initial 
assessment and to identify the type of services an eligibility person 
might be able to receive. Furthermore, an authorized federal staff from 
the Administration for Children and Families (ACF) will make final 
eligibility determination by completing the appropriate section of this 
form.
    2. The U.S. Repatriation Program Privacy and Repayment Agreement 
Form: Under 45 CFR parts 211 and 212, individuals who receive Program 
assistance are required to repay the federal government for the cost 
associated to the services received. This form authorizes ORR to 
release personal identifiable information to partners for the purpose 
of providing services to eligible repatriates. In addition, through 
this form eligible repatriates agree to accept services under the terms 
and conditions of the Program. Specifically, eligible repatriates 
commit to repay the federal government for all services received while 
in the Program. This form is to be completed by eligible repatriates or 
authorized legal custodian. Exception applies to minors and individuals 
eligible under 45 CFR part 211 when no legal custodian is identified.
    3. Relinquish Repatriation Services Form: For individuals who are 
eligible to receive repatriation assistance but opt to relinquish 
services, this form is utilized to confirm and record repatriate's 
decision to refuse Program assistance. This form is to be completed by 
eligible repatriates or authorized legal custodian. Exception applies 
to minors and individuals eligible under 45 CFR part 211 when no legal 
custodian is identified.
    4. The U.S. Repatriation Program Emergency Reimbursement Form: 
Under Section 1113 of the Social Security Act, ORR is authorized to 
provide temporary assistance directly or through utilization of the 
services and facilities of appropriate public or private agencies and 
organizations, in accordance with agreements providing for payment, in 
advance or by way of reimbursement, as may be determined by ORR. This 
form is to be utilized and completed by ORR partners to request 
reimbursement of reasonable and allowable costs, both administrative 
and actual temporary services, associated to services provided under 
the Program Emergency activities. For the purpose of this document, the 
word partner has the same meaning of ``agency.'' Definition is found 
under 45 CFR 212.1 (i).
    5. The U.S. Repatriation Program Non-emergency Reimbursement Form: 
Under Section 1113 of the Social Security Act, ORR is authorized to 
provide temporary assistance directly or through utilization of the 
services and facilities of appropriate public or private agencies and 
organizations, in accordance with agreements providing for payment, in 
advance or by way of reimbursement, as may be determined by ORR. This 
form is to be utilized and completed by ORR partners to request 
reimbursement of reasonable and allowable costs, both administrative 
and actual temporary services, associated to services provided under 
the Program non-emergency activities.
    6. The U.S. Repatriation Program Financial Waiver Request Form: 
Under 45 CFR parts 211 & 212 individuals who have received Repatriation 
assistance may be eligible to receive waivers and/or deferral if they 
fall within the repayment exceptions found with theses regulations. 
This form is to be completed by eligible repatriates or authorized 
legal custodian or state repatriation coordinator whenever appropriate. 
Exception applies to minors and individuals eligible under 45 CFR part 
211 when no legal custodian is identified.

[[Page 39710]]

    7. The U.S. Repatriation Program Temporary Assistance Extension 
Request Form: Under 45 CFR parts 211 & 212 temporary assistance may be 
furnished beyond the 90 days eligibility period if the individual falls 
within the eligibility requirements for an extension. This form is to 
be completed by the eligible repatriates or authorized legal custodian 
or state repatriation coordinator whenever appropriate. This form must 
be submitted to ORR or its authorized grantee 14 days prior to the 90 
days eligibility period ends, unless the circumstances surrounding the 
case merits submission after the 14th day.
    8. The U.S. Repatriation Program Individual Case Management Report 
and Financial Claim Form: Under Section 1113 of the Social Security 
Act, ORR is authorized to provide temporary assistance directly or 
through utilization of the services and facilities of appropriate 
public or private agencies and organizations, in accordance with 
agreements providing for payment, in advance or by way of 
reimbursement, as may be determined by ORR. This form is to be utilized 
and completed by ORR partners to request reimbursement of reasonable 
and allowable costs, both administrative and actual temporary services, 
and to provide individual case updates. This form is to be completed by 
the eligible individual case worker and/or service provider.
    Respondents: Repatriation Program partners (e.g. States, federal 
agencies, non-governmental agencies, etc.) and individuals repatriated 
or evacuated by DOS from overseas. These respondents are authorized 
under Title XI, Section 1113 of the Social Security Act (42 U.S.C. 
1313), Executive Order 12656 (amended by E.O. 13074, February 9, 1998; 
E.O. 13228, October 8, 2001; E.O. 13286, February 28, 2003), and 45 CFR 
parts 211 & 212.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                              Number of        Average
            Instrument                    Number of         responses per   burden hours     Total burden hours
                                         respondents         respondent     per response
----------------------------------------------------------------------------------------------------------------
The U.S. Repatriation Program       50 or more...........               1            0.15  7.5 or more.
 Emergency and Group Processing
 Form.
The U.S. Repatriation Program       700 or more..........               1            0.10  70 or more.
 Privacy and Repayment Agreement
 Form:
Relinquish Repatriation Services    10 or more...........               1            0.05  0.5 or more.
 Form.
The U.S. Repatriation Program       4 or more............               1               1  4 or more.
 Emergency Reimbursement Form:
The U.S. Repatriation Program Non-  53 or more...........               1            0.30  17.9 or more.
 emergency Reimbursement Form:
The U.S. Repatriation Program       100 or more..........               1               1  100 or more.
 Financial Waiver Request Form:
The U.S. Repatriation Program       20 or more...........               1             .30  6 or more.
 Temporary Assistance Extension
 Request Form.
The U.S. Repatriation Program       53 or more...........               1               1  53 or more.
 Individual Case Management Report
 and Financial Claim Form:
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 258.90
    In compliance with the requirements of Section 506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Administration for Children and 
Families is soliciting public comment on the specific aspects of the 
information collection described above. Copies of the proposed 
collection of information can be obtained and comments may be forwarded 
by writing to the Administration for Children and Families, Office of 
Planning, Research and Evaluation, 370 L'Enfant Promenade SW., 
Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email 
address: [email protected]. All requests should be identified 
by the title of the information collection.
    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 
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 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.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2012-16285 Filed 7-3-12; 8:45 am]
BILLING CODE 4184-01-P