[Federal Register Volume 78, Number 169 (Friday, August 30, 2013)]
[Notices]
[Pages 53770-53772]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-21211]


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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: 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 (HHS) 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 (ACF) and later re-delegated 
by ACf 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

[[Page 53771]]

responsibilities,'' HHS was given the lead responsibility to develop 
plans and procedures in order to provide assistance to U.S. citizens 
and 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. The Program provides services through agreements with local 
repatriation service providers (e.g. States, federal agencies, non-
governmental agencies, etc.). For the purpose of this Program, local 
repatriation service provider (local provider) has the same definition 
of ``agency'' as defined under 45 CFR 212.1(i).
    1. The HHS 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 needed services. 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 eligibility and needs assessment. An authorized federal 
staff from the ACF will make final eligibility determinations through 
the approval 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 unaccompanied minors 
and individuals eligible under 45 CFR 211, if 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 unaccompanied minors and individuals eligible under 45 CFR 211, if 
no legal custodian is identified.
    4. The U.S. Repatriation Program Emergency Financial 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, as 
may be determined by ORR. This form is to be utilized and completed by 
ORR local providers to request reimbursement of reasonable and 
allowable costs, both administrative and actual temporary services, 
after emergency activities.
    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 arrangements, in 
accordance with agreements providing for payment, as may be determined 
by ORR. This form is to be utilized and completed by ORR local 
providers to request reimbursement of reasonable and allowable costs, 
both administrative and actual temporary services.
    6. The U.S. Repatriation Program Financial Waiver Request Form: In 
accordance with 45 CFR parts 211 & 212 individuals who have received 
Repatriation assistance may be eligible to receive a waiver or deferral 
of their repatriation loan. This form is to be completed by eligible 
repatriates, authorized legal custodian, or the repatriation local 
provider. Exception applies to unaccompanied minors and individuals 
eligible under 45 CFR part 211, if no legal custodian is identified.
    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. This form is to be 
completed by the eligible repatriates, authorized legal custodian, or 
the repatriation local provider. This form should be submitted to ORR 
or its authorized grantee 14 days prior to the expiration of the 90 
days eligibility period.
    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 agreements with public and private agencies. This form is to be 
utilized and completed by ORR local provider to request reimbursement 
of reasonable and allowable costs, both administrative and actual 
temporary services. This form should also be utilized by the local 
repatriation provider for submit case updates. This forms is to be 
completed by authorized local providers.
    Respondents: Repatriation Program local repatriation service 
provider and individuals repatriated or evacuated by DOS from overseas.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                           Number of
           Instrument                  Number of         responses per      Average burden    Total burden hours
                                      respondents         respondent      hours per response
----------------------------------------------------------------------------------------------------------------
U.S. Repatriation Program         500 or more.......  1.................  0.15..............  75 or more.
 Emergency and Group Processing
 Form.
U.S. Repatriation Program         1000 or more......  1.................  0.05..............  50 or more.
 Privacy and Repayment Agreement
 Form.
U.S. Repatriation Program         50 or more........  1.................  0.05..............  0.8 or more.
 Relinquish Temporary Assistance
 Form.
U.S. Repatriation Program         4 or more.........  1.................  0.20..............  4 or more.
 Emergency and Group Financial
 Form.
U.S. Repatriation Program Non-    53 or more........  1.................  0.20..............  10.6 or more.
 emergency Monthly Financial
 Statement Form.

[[Page 53772]]

 
U.S. Repatriation Program Loan    100 or more.......  1.................  1.................  100 or more.
 Waiver Request Form.
U.S. Repatriation Program         500 or more.......  1.................  0.20..............  100 or more.
 Temporary Assistance Extension
 Request Form.
U.S. Repatriation Program         1000 or more......  1 or more.........  0.20..............  200 or more.
 Individual Case Management
 Report.
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 540.4.
    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 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. 2013-21211 Filed 8-29-13; 8:45 am]
BILLING CODE 4184-01-P